Impactlex, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

IMPACTLEX, LLC

Doing business as

Cascades of Bluegrass

Practice address

500 Horton CT
Lexington, KY 40511-1075

Phone

(859) 276-0481

Fax

(972) 616-6144

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By 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

Michael K PotterNPI 1447715677

Title

Member

Phone

(859) 489-9287

Specialties & licenses 2

Addresses

Other names 1

• Cascades of Bluegrass 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, and the practitioner matching its NPPES authorized official.

• Michael Keith Potter

  • Developmentally Disabled Services Day Training Agency
  • Lexington, KY
  • NPI 1447715677

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1700342003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HORTON CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111075",
            "telephone_number": "859-276-0481",
            "fax_number": "972-616-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HORTON CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111075",
            "telephone_number": "859-276-0481",
            "fax_number": "972-616-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTLEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-489-9287"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascades of Bluegrass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aleeza Imam
• Vida Alexandra Imani, PA-C
• Brayden Squire Imel, PA-C
• Hallea Rae Imel, DMD
• Janna L Imel, PHD
• Impromed Corp
• Maham Imran, MBBS
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• In the Scene Wellness Collective LLC
• William Barlow Inabnet III, M.D.

• Developmentally Disabled Services Day Training Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Developmentally Disabled Services Day Training Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.