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

Last updated

Feb 7, 2014By 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

Dr. Debbie Loureen Cadet, PHD, MSWNPI 1326877069

Title

Chief Administrative Officer

Phone

(804) 301-9624

Specialties & licenses 1

Addresses

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.

• Debbie L. Cadet, LCSW

  • Clinical Social Worker
  • Chester, VA
  • NPI 1326877069
  Authorized official Same address or phone

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": []
}

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• Developmentally Disabled Services Day Training Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• 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.