Organization Active NPI

Impetus Health LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1164312492
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.