NPIMap

Organization Active NPI

Impax Solutions Incorporated

  • Case Manager/Care Coordinator
  • Philadelphia, PA
National Provider Identifier
1437809985
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
IMPAX SOLUTIONS INCORPORATED
Practice address
3009 W Fletcher St
Philadelphia, PA 19132-3427
Phone
(856) 956-6258
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Miss Saesha Sampson, IT SUPPORTNPI 1235889502
Title
Treasurer
Phone
(856) 956-6258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X
Home Health Agency 251E00000X
Private Vehicle 347C00000X
Respite Care 385H00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

3009 W Fletcher St
Philadelphia, PA 19132-3427

Mailing address

PO Box 13344
Philadelphia, PA 19101-3344
Phone (856) 956-6258

Other practice location 1

4917 Olive St
Philadelphia, PA 19139-1730
Phone (856) 956-6258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1437809985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13344",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013344",
            "telephone_number": "856-956-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 W FLETCHER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323427",
            "telephone_number": "856-956-6258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4917 Olive St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191391730",
            "country_code": "US",
            "telephone_number": "856-956-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPAX SOLUTIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "SAESHA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "856-956-6258",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "IT SUPPORT"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

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