Impact Adult Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

88301001 Issued in VA

Legal business name

IMPACT ADULT SERVICES, LLC

Practice address

5536 Koufax Dr
North Chesterfield, VA 23234-2897

Phone

(804) 301-9624

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Debbie Loureen Cadet, PHD, MSW

Title

Chief Administrative Officer

Phone

(804) 301-9624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1720402001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 GLENMORGAN DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316638",
            "telephone_number": "804-301-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 KOUFAX DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232342897",
            "telephone_number": "804-301-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT ADULT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "CADET",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "LOUREEN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "804-301-9624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "88301001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Dental Care , Inc
• Ideal Family Dentistry LLC
• Innocent Onyebuchi Idemili
• Rose Ifeyinwa Idemili
• Rachel Igou
• Impact Wellness Center LLC
• In Good Hands Transportation, LLC
• In the Beginning Incubator and Fund Company
• Inclusive Care Community, Inc.
• Individualized Treatment Services LLC

• All providers in North Chesterfield, VA
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.