Active NPI
Impact Support Services
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lanham, MD
National Provider Identifier
1528934643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Imind Integration Health LLC
- Imind Integration Health LLC
- Immaculate Supported Services, LLC
- Impact Counseling, LLC
- Impact Diagnostic Lab & Health Services
- Impact Support Services, Inc.
- Impeccable Healthcare Services LLC
- In Good Hands Health & Wellness, LLC
- In Heart Home Care LLC
- Incredible Care Support Services Inc
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.