NPIMap

Organization Active NPI

Impactful Human Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Berwyn, PA
National Provider Identifier
1598375305
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
IMPACTFUL HUMAN SERVICES LLC
Doing business as
Impactful Human Services LLC
Practice address
1055 Westlakes Dr Ste 3003
Berwyn, PA 19312-2410
Phone
(877) 500-4742
Fax
(877) 500-4742
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Nate A McNeil
Title
Owner
Phone
(877) 500-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1055 Westlakes Dr Ste 3003
Berwyn, PA 19312-2410

Mailing address

1055 Westlakes Dr Ste 300
Berwyn, PA 19312-2410
Phone (877) 500-4742

Other names 1

  • Impactful Human Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impactful Human Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1055 Westlakes Dr
Ste 3003
Berwyn, PA 19312
Phone (877) 500-4742

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1598375305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "877-500-4742",
            "fax_number": "877-500-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3003",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "877-500-4742",
            "fax_number": "877-500-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTFUL HUMAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-500-4742"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impactful Human Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.