Active NPI
Impetus Health LLC
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1164312492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IMPETUS HEALTH LLC
- Practice address
- 3464 Augusta St
Atlanta, GA 30349-2954 - Phone
- (757) 839-7801
- NPI assigned
- Jul 8, 2025
- Last updated
- Jul 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorisa Depte
- Title
- Owner
- Phone
- (757) 839-7801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3464 Augusta St
Atlanta, GA 30349-2954
Mailing address
431 Jacobsen Dr
Newark, DE 19702-6701
Phone (757) 839-7801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1164312492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 JACOBSEN DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197026701",
"telephone_number": "757-839-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 AUGUSTA ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303492954",
"telephone_number": "757-839-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPETUS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A",
"authorized_official_last_name": "DEPTE",
"authorized_official_first_name": "LORISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-839-7801",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.