Organization Active NPI

Impruvon Inc.

  • Developmental Disabilities Clinic/Center
  • Baltimore, MD
National Provider Identifier
1518626704
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
IMPRUVON INC.
Practice address
2101 E Biddle St
Baltimore, MD 21213-3307
Phone
(410) 818-7272
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Justin Amoyal
Title
Ceo
Phone
(410) 818-7272

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Customized Equipment (DME) 332BC3200X
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

2101 E Biddle St
Baltimore, MD 21213-3307

Mailing address

10900 University Boulevard
Katherine G. Johnson Hall, Suite 147
Manassas, VA 20110
Phone (410) 818-7272

National Provider Directory

National Provider Directory

Locations

2101 E Biddle St
Baltimore, MD 21213
Phone (410) 818-7272

10900 University Blvd
Ste 147
Manassas, VA 20110
Phone (703) 447-8056

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1518626704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 UNIVERSITY BOULEVARD",
            "address_2": "KATHERINE G. JOHNSON HALL, SUITE 147",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "410-818-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E BIDDLE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133307",
            "telephone_number": "410-818-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRUVON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "AMOYAL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-818-7272"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.