Impact Life Home Health, LLC - DME Series

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMPACT LIFE HOME HEALTH, LLC - DME SERIES

Practice address

9475 Los Olmos
Los Fresnos, TX 78566-4588

Phone

(956) 455-5587

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Jesus Rodolfo FloresNPI 1861621047

Title

Managing Member

Phone

(956) 455-5587

Specialties & licenses 1

Addresses

Other names 1

• Impact Life DME Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Rodolfo Flores, MS CCC-SLP

  • Speech-Language Pathologist
  • Los Fresnos, TX
  • NPI 1861621047
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1992569305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 AUSTRIAN PINE CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507802",
            "telephone_number": "956-455-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOS OLMOS",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664588",
            "telephone_number": "956-455-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT LIFE HOME HEALTH, LLC - DME SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "RODOLFO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "956-455-5587"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Life DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Herbert Harris
• Helping Hands Children'S Rehabilitation Center, LLP
• Celina Ann Hernandez, M.A. CCC/SLP
• Humberto Hinojosa III
• Neale Eric House
• Impact Life Home Health, LLC - Healthcare Series
• Impact Life Home Health, LLC - Impact Life Rehab Series
• Mark A Jones, FNP-C
• Julian F. Alvarez, MD. Pediatric Clincic
• Pamela Kay Marie Klassen, RN, FNP-BC, ARNP,

• Durable Medical Equipment & Medical Supplies in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.