Impact Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2556 Issued in NC

Legal business name

IMPACT HOME CARE SERVICES

Practice address

213 W Cronly St
Suite 1
Laurinburg, NC 28352-3637

Phone

(910) 276-4644

Fax

(910) 276-4717

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Lashonda Swindell Williamson, RN

Title

Director

Phone

(910) 276-4644

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• IMPACT HOME CARE SERVICES Doing business as

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1487729075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2076",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532076",
            "telephone_number": "910-276-4644",
            "fax_number": "910-276-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W CRONLY ST",
            "address_2": "SUITE 1",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523637",
            "telephone_number": "910-276-4644",
            "fax_number": "910-276-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_middle_name": "SWINDELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-276-4644",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2556",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408410",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601101",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPACT HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMPACT HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.