Impact Health Alliance LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

IMPACT HEALTH ALLIANCE LLC

Practice address

28 Church St, Ste 14 #1453
Winchester, MA 01890

Phone

(508) 510-7341

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Michael Aflakpui

Title

Ceo

Phone

(508) 510-7341

Specialties & licenses 1

Addresses

Tax ID family

Impact Health Alliance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Impact Health Alliance LLC

  • Home Health Agency
  • Boston, MA
  • NPI 1649154741
  NPD tax ID

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1760166789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST, STE 14 #1453",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST, STE 14 #1453",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "508-510-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "AFLAKPUI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-510-7341"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hudson
• Crystal Hume, RD LDN
• Kelsey Hunter, PA-C
• John J Hutcheson, M.D.
• Nabil Rene Ibrahim, B.D.S., D.D.S.
• Sonia Amaral Inacio, MD
• Insight Recovery Treatment Center LLC
• Richard Irving, MSW
• Jackie Surdan, LMHC, LLC
• Heather Jacobs, CCC-SLP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winchester, MA
• Providers in Winchester, MA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.