Organization Active NPI

Impact Homehealth Care Agency LLC

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1316855695
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IMPACT HOMEHEALTH CARE AGENCY LLC
Practice address
17524 E Dickenson PL
Aurora, CO 80013-4178
Phone
(720) 495-6737
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Tigist Birhanu Woldegiorgis
Title
Owner
Phone
(720) 285-6389

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

17524 E Dickenson PL
Aurora, CO 80013-4178

Mailing address

17524 E Dickenson PL
Aurora, CO 80013-4178
Phone (720) 495-6737

National Provider Directory

National Provider Directory
Tax ID family
Impact Homehealth Care Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1316855695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17524 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134178",
            "telephone_number": "720-495-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17524 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134178",
            "telephone_number": "720-495-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HOMEHEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "WOLDEGIORGIS",
        "authorized_official_first_name": "TIGIST",
        "authorized_official_middle_name": "BIRHANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-285-6389"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.