Impact Management Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IMPACT MANAGEMENT SERVICES, LLC

Practice address

8240 Cumberland Rd
New Kent, VA 23124-2010

Phone

(804) 966-8686

Fax

(804) 966-5009

NPI assigned

Aug 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel Jefferson Jr.

Title

Vice President

Phone

(804) 397-9924

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255856993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 CUMBERLAND RD",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242010",
            "telephone_number": "804-966-8686",
            "fax_number": "804-966-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 CUMBERLAND RD",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242010",
            "telephone_number": "804-966-8686",
            "fax_number": "804-966-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-397-9924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomeeker Booth Gary
• Michaela Morgan Griles, PTA
• Raisa Hasan, LCSW
• Deborah Ann Hill Barlow, PHD LCP
• Cara Hoover, APRN, AGPCNP-BC
• Bailee Hope Jenkins
• Bruce Johnson
• Brittani Jordan, RN
• Earnestina Adele Kelley
• Jamie A Kelman, LCSW

• Case Management Agency in New Kent, VA
• Providers in New Kent, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.