IMPACT RESIDENTIAL CARE LLC
NPI 1053131417
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avon, IN
About Impact Residential Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT RESIDENTIAL CARE LLC (NPI 1053131417) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Avon, Indiana and active in the NPI registry since October 2024. The organization lists Grace Uwase, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Impact Residential Care LLC's NPI number?
The NPI number for Impact Residential Care LLC is 1053131417. It was assigned to this organization in the NPPES registry on October 11, 2024.
Where is Impact Residential Care LLC located?
Impact Residential Care LLC is located at 8605 Talisker Dr, Avon, IN 46123. The listed phone number is (207) 347-1748.
What is Impact Residential Care LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Impact Residential Care LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Impact Residential Care Llc · NPI 1053131417
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Avon, Indiana. Organization record, active in the CMS NPPES registry since October 11, 2024.
## Identity
- **NPI:** 1053131417 (Entity type: Organization)
- **Enumerated:** October 11, 2024
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Grace Uwase, OWNER
## Practice location
- **Address:** 8605 TALISKER DR, Avon, IN 46123-7288
- **Phone:** (207) 347-1748
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053131417) · Data from the CMS NPPES public registry.