Care Impact 4, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE IMPACT 4, LLC

Doing business as

Care Impact Plus Home Health
Care Impact Plus NOVA

Practice address

5100 Fillmore Ave
Alexandria, VA 22311-5069

Phone

(703) 845-5013

Fax

(703) 845-2976

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Anne Rauschenberg, OTR/L

Title

Executive Director

Phone

(804) 677-0415

Specialties & licenses 1

Addresses

Other names 2

• Care Impact Plus Home Health Doing business as
• Care Impact Plus NOVA Doing business as

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1538930037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 FILLMORE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115069",
            "telephone_number": "703-845-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 FILLMORE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115069",
            "telephone_number": "703-845-5013",
            "fax_number": "703-845-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE IMPACT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "RAUSCHENBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-677-0415",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Impact Plus Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Impact Plus NOVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

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