Organization Active NPI

Impact Home Care Solutions LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1417512179
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMPACT HOME CARE SOLUTIONS LLC
Practice address
1211 Tech Blvd Ste 145
Tampa, FL 33619-7845
Phone
(813) 995-8890
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Melissa Roberts, APRN
Title
Owner
Phone
(954) 817-9532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1211 Tech Blvd Ste 145
Tampa, FL 33619-7845

Mailing address

1211 Tech Blvd Ste 145
Tampa, FL 33619-7845
Phone (813) 995-8890

National Provider Directory

National Provider Directory

Locations

1211 Tech Blvd
Ste 145
Tampa, FL 33619
Phone (813) 419-0073

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1417512179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 TECH BLVD STE 145",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197845",
            "telephone_number": "813-995-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 TECH BLVD STE 145",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197845",
            "telephone_number": "813-995-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HOME CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-817-9532",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.