Organization Active NPI

Moment of Impact, Inc

  • Respite Care
  • Minneapolis, MN
National Provider Identifier
1801972963
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1040454-1-CFC Issued in MN
Legal business name
MOMENT OF IMPACT, INC
Practice address
8456-Brunswick CT N
Minneapolis, MN 55443
Phone
(763) 416-0095
Fax
(763) 515-7889
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Patrick Imhanyianbho Ugiagbe
Title
Administrator
Phone
(763) 227-4131

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN
Assisted Living Facility 310400000X MN
Respite Care 385H00000X 1040454-1-CFC MN Primary

Addresses

Primary practice location

8456-Brunswick CT N
Minneapolis, MN 55443

Mailing address

8456-Brunswick CT N
Minneapolis, MN 55443
Phone (763) 416-0095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801972963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8456-BRUNSWICK CT N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-416-0095",
            "fax_number": "763-515-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8456-BRUNSWICK CT N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-416-0095",
            "fax_number": "763-515-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENT OF IMPACT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "UGIAGBE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "IMHANYIANBHO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-227-4131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "1040454-1-CFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.