Organization Active NPI

Impactdme LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1861805475
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IMPACTDME LLC
Practice address
1888 Stebbins Dr Ste 100a
Houston, TX 77043-2841
Phone
(832) 819-3120
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Patrick Davidson, BA, MA
Title
Ceo
Phone
(248) 626-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1888 Stebbins Dr Ste 100a
Houston, TX 77043-2841

Mailing address

1127 Eldridge Pkwy
Suite 300-370
Houston, TX 77077-1771

Other practice location 1

2210 Eldridge Pkwy
Suite 662
Houston, TX 77077-1666
Phone (855) 378-9036

National Provider Directory

National Provider Directory

Locations

1888 Stebbins Dr
Ste 100A
Houston, TX 77043
Phone (832) 819-3120

2210 Eldridge Pkwy
Ste 662
Houston, TX 77077
Phone (855) 378-9036

1127 Eldridge Pkwy
Ste 300370
Houston, TX 77077

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1861805475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ELDRIDGE PKWY",
            "address_2": "SUITE 300-370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 STEBBINS DR STE 100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432841",
            "telephone_number": "832-819-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Eldridge Pkwy",
            "address_2": "Suite 662",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770771666",
            "country_code": "US",
            "telephone_number": "855-378-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACTDME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-626-3100",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.