Impact Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMPACT HEALTH CARE INC

Practice address

1382 Quarry LN
Eagan, MN 55121-1330

Phone

(763) 377-1589

Fax

(844) 658-3241

NPI assigned

Feb 9, 2020

Organization subpart

No

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

Authorized official

Name

Julien Boayue, RNNPI 1124643762

Title

Nursing Director

Phone

(763) 377-1589

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julien K Boayue, RN

  • Registered Nurse
  • Golden Valley, MN
  • NPI 1124643762
  NPD Authorized official

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1669004511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 QUARRY LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211330",
            "telephone_number": "763-377-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 QUARRY LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211330",
            "telephone_number": "763-377-1589",
            "fax_number": "844-658-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "BOAYUE",
        "authorized_official_first_name": "JULIEN",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "763-377-1589",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eagan",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1382 Quarry Ln",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551211330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patience Imade Ikonagbon
• Ilhc of Eagan, LLC (The Commons on Marice)
• Kurt Robert Illig, PHD, LP
• Imani Services L.L.C.
• Imis MN Inc (Pearle Vision)
• In-Alignment Counseling, LLC
• In-Home Lab Connection Inc.
• Anthony A. Indovina Jr., DDS
• Infinite Health Collaborative, PA
• Integrated Motion Pediatric Physical Therapy, Inc.

• Home Health Agency in Eagan, MN
• Providers in Eagan, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.