Organization Active NPI

High Impact Performance & Recovery, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Southington, CT
National Provider Identifier
1972351054
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HIGH IMPACT PERFORMANCE & RECOVERY, LLC.
Practice address
122 Spring St Ste C5
Southington, CT 06489-1534
Phone
(860) 704-6973
Fax
(860) 863-4035
NPI assigned
May 13, 2024
Organization subpart
Yes
Parent organization
ADVANCED BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Chad Wable
Title
President/Ceo
Phone
(860) 704-6172

Specialties & licenses 1

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

Addresses

Primary practice location

122 Spring St Ste C5
Southington, CT 06489-1534

Mailing address

122 Spring St Ste C5
Southington, CT 06489-1534
Phone (860) 704-6973

National Provider Directory

National Provider Directory
Part of
Advanced Behavioral Health Inc

Locations

122 Spring St
Ste C5
Southington, CT 06489
Phone (860) 704-6973

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1972351054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SPRING ST STE C5",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891534",
            "telephone_number": "860-704-6973",
            "fax_number": "860-863-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SPRING ST STE C5",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891534",
            "telephone_number": "860-704-6973",
            "fax_number": "860-863-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH IMPACT PERFORMANCE & RECOVERY, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "WABLE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-704-6172"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.