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IMPACT HOMEHEALTH CARE AGENCY LLC
NPI 1124738737
Home Health in Aurora, CO

Active since December 05, 2022CLIA 06D2304007 · Waiver
17524 E DICKENSON PL, AURORA, CO 80013(720) 495-6737 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Impact Homehealth Care Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT HOMEHEALTH CARE AGENCY LLC (NPI 1124738737) is a healthcare organization registered as a home health in Aurora, Colorado and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Tigist Woldegiorgis, Owner/vice President, as its authorized official.

NPPES Registry Identity

NPI1124738737
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameIMPACT HOMEHEALTH CARE AGENCY LLC
Location Address17524 E DICKENSON PLAurora, CO 80013-4178
Mailing Address17524 E Dickenson PlAurora, CO 80013-4178 · (720) 695-9993
Phone(720) 495-6737
Organization SubpartNo
Authorized OfficialTigist WoldegiorgisOwner/vice President · (720) 695-9993
Enumeration DateDecember 5, 2022
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1124738737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
17524 E DICKENSON PL, Aurora, CO 80013
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2304007

Impact Homehealth Care Agency, LLC · Aurora, CO
Active · expires May 5, 2028
CLIA Number06D2304007
Laboratory TypeHome Health Agency
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorTigist Woldegiorgis
Laboratory Phone(720) 695-9993
Laboratory LocationImpact Homehealth Care Agency, LLC17524 E Dickenson Place, Aurora, CO 80013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASSION LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
17524 E DICKENSON PL
AURORA, CO 80013
Arapahoe County (303) 564-1962

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 Homehealth Care Agency LLC's NPI number?

The NPI number for Impact Homehealth Care Agency LLC is 1124738737. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Impact Homehealth Care Agency LLC located?

Impact Homehealth Care Agency LLC is located at 17524 E Dickenson Pl, Aurora, CO 80013. The listed phone number is (720) 495-6737.

What is Impact Homehealth Care Agency LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Impact Homehealth Care Agency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2304007) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Homehealth Care Agency LLC was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.