Impact Care Ohio LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMPACT CARE OHIO LLC.

Practice address

1350 W 5TH Ave Ste 128
Columbus, OH 43212-2907

Phone

(614) 816-7525

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Jasmine Calo

Title

Ceo/Program Director

Phone

(614) 816-7525

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1972106771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 5TH AVE STE 128",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122907",
            "telephone_number": "614-816-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 5TH AVE STE 128",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122907",
            "telephone_number": "614-816-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CARE OHIO LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "CALO",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "614-816-7525"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222184",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@impactcareohio.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1350 W 5th Ave Ste 128",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432122907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Marie Imhoff
• Michele Imler, OPTICIAN
• Amy A Imm, M.D.
• John G. Imm III, D.D.S.
• Immaculate Homehealth Care Services LLC
• Impact Pediatrics, LLC
• Impact Performance Therapy
• Angdi K. Impelee
• Imperial Comfort Home Health Agency
• Implied Human Dynamics Personal Care Home

• In Home Supportive Care Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.