Organization Active NPI

Impact Support Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lanham, MD
National Provider Identifier
1528934643
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
IMPACT SUPPORT SERVICES
Practice address
4407 Forbes Blvd
Lanham, MD 20706-4328
Phone
(202) 744-7370
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Obinna Uzomah
Title
Administrator
Phone
(202) 744-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

4407 Forbes Blvd
Lanham, MD 20706-4328

Mailing address

4407 Forbes Blvd
Lanham, MD 20706-4328

National Provider Directory

National Provider Directory

Locations

4407 Forbes Blvd
Lanham, MD 20706
Phone (202) 744-7370

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1528934643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 FORBES BLVD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 FORBES BLVD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064328",
            "telephone_number": "202-744-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "UZOMAH",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-744-7370"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.