Life Impact Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE IMPACT HEALTHCARE SERVICES LLC

Doing business as

Life Impact Healthcare Services

Practice address

454 Cambridge St
Fredericksburg, VA 22405-1455

Phone

(571) 594-4091

NPI assigned

Sep 20, 2025

Organization subpart

No

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

Authorized official

Name

Georgina AboagyeNPI 1568714186

Title

President

Phone

(571) 594-4093

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• LIFE IMPACT HEALTHCARE SERVICES Doing business as

Locations

Practitioners 1

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

• Georgina Aboagye

  • Prosthetic/Orthotic Supplier
  • Woodbridge, VA
  • NPI 1568714186
  NPD Authorized official

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1679445522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051455",
            "telephone_number": "571-594-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IMPACT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "ABOAGYE",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-594-4093"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VDH",
            "identifier": "HCO-0005996",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE IMPACT HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard A. Lewis, M.D.
• Shania Jena Lewis
• Yvonne Lewis
• Liberty Sports & Physical Therapy LLC
• John David Lieser, MD
• Life Source Counseling Center, Inc
• Lifecare Medical Transports, LLC
• Lighthouse Counseling of Fredericksburg, PLC
• Lighthouse Counseling of Fredericksburg, PLC
• Shannon H Lightner, M.S., CCC-SLP

• Home Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, 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 May 4, 2026; 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.