Impact Carolinas Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMPACT CAROLINAS HOME CARE SERVICES, LLC

Doing business as

SYNERGY HOMECARE OF CAPE FEAR

Practice address

6336 Oleander Dr Ste 4
Wilmington, NC 28403-3550

Phone

(910) 408-5390

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Michael J Rokoski

Title

Chief Operating Officer

Phone

(910) 315-6200

Specialties & licenses 1

Addresses

Other names 1

• SYNERGY HOMECARE OF CAPE FEAR Doing business as

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1619754843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801048",
            "telephone_number": "910-315-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 OLEANDER DR STE 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033550",
            "telephone_number": "910-408-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CAROLINAS HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "ROKOSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-315-6200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HOMECARE OF CAPE FEAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lois Jeaninne Iiams, FNP-C
• Linda Oldham Ikle, PH.D.
• Andrew N. Illobre, PA-C
• Gail Imhof, MSN
• Nicolle Imig, RDN
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• Russell Anthony Incatasciato, D.O.
• Incredible Technology Inc. Dba Laser Healing Therapy
• Anna Indenbaum, FNP-C

• In Home Supportive Care Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.