Impact Life, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMPACT LIFE, INC

Practice address

90 Blue Hen Dr
Newark, DE 19713-3406

Phone

(302) 485-0702

NPI assigned

May 25, 2026

Organization subpart

Yes

Parent organization

IMPACT LIFE, INCAs reported in NPPES

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

Authorized official

Name

Lauren Steward

Title

Director of Administration

Phone

(302) 485-0702

Specialties & licenses 1

Addresses

Other names 1

• IMPACT LIFE PRIMARY CARE Doing business as

Tax ID family

Impact Life Inc4 organizations share this tax ID, including this one

Part of

Impact Life Inc

Other organizations with this tax ID 3

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

• Impact Life, Inc

  • Mental Health Counselor
  • Newark, DE
  • NPI 1316824527
  NPD tax ID
• Impact Life, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harbeson, DE
  • NPI 1346119302
  NPD tax ID
• Impact Life, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Seaford, DE
  • NPI 1558018432
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Impact Life, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Seaford, DE
  • NPI 1558018432
  NPPES parent name

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1801727490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197075269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BLUE HEN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133406",
            "telephone_number": "302-485-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT LIFE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPACT LIFE, INC",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "302-485-0702"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPACT LIFE PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maelen Ignacio, PHARM.D.
• Ijn Health Systems, LLC
• Susan Imam
• Heather Ann Immediato, PTA
• Impact Life, Inc
• Chantel Imran, M.D.
• Jonathan Burhan Imran, MD
• Mohammad Imran, M.D.
• In Home Health LLC
• Inact Inc

• Family Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Family Medicine Physician in Delaware

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