IMPACT HOME CARE SERVICES LLC
NPI 1215682505
Day Training, Developmentally Disabled Services in Jacksonville, FL

Q: What is Impact Home Care Services LLC's NPI number?

The NPI number for Impact Home Care Services LLC is 1215682505. It was assigned to this organization in the NPPES registry on February 16, 2022.

Q: What is Impact Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since February 16, 2022

4720 SALISBURY RD, UNIT 110, JACKSONVILLE, FL 32256(904) 415-7665 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Impact Home Care Services Llc NPPES

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

IMPACT HOME CARE SERVICES LLC (NPI 1215682505) is a healthcare organization registered as a day training, developmentally disabled services in Jacksonville, Florida and active in the NPI registry since February 2022. The organization lists Shawan Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1215682505

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameIMPACT HOME CARE SERVICES LLC

Location Address4720 SALISBURY RD, UNIT 110Jacksonville, FL 32256-6101

Mailing Address6700 Bowden Rd Unit 1104Jacksonville, FL 32216-3672 · (904) 415-7665

Phone(904) 415-7665

Organization SubpartNo

Authorized OfficialShawan DavisOwner · (904) 415-7665

Enumeration DateFebruary 16, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1215682505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

4720 SALISBURY RD, Jacksonville, FL 32256

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Other Identifiers 1

Medicaid020792700FL

Other Providers at the Same Location NPPES 20

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

MS. LATISHA M HILL MSW

Social Worker (Clinical)

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (904) 493-6190

MISS SABRINA ISABEL LEAL M.S. SLP

Speech-Language Pathologist

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (904) 652-6165

COX BEHAVIORAL HEALTH GROUP LLC

Community/Behavioral Health

4720 SALISBURY RD, # 103
JACKSONVILLE, FL 32256

Duval County (904) 655-8973

CHEM MEDICAL INC

Non-emergency Medical Transport (VAN)

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (786) 307-2724

OPEN PERSPECTIVES, LLC

Community/Behavioral Health

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (904) 479-8459

NURSES REGISTRY AND HOME HEALTH CORPORATION

Home Health

4720 SALISBURY RD, SUITE 107
JACKSONVILLE, FL 32256

Duval County (904) 685-8866

MYLOUSE MILLIE SAGESSE

Counselor (Mental Health)

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (904) 562-1391

ONE STEP FORWARD ABA FL INC

Community/Behavioral Health

4720 SALISBURY RD
JACKSONVILLE, FL 32256

Duval County (201) 972-6318

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 Home Care Services LLC's NPI number?

The NPI number for Impact Home Care Services LLC is 1215682505. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Impact Home Care Services LLC located?

Impact Home Care Services LLC is located at 4720 Salisbury Rd Unit 110, Jacksonville, FL 32256. The listed phone number is (904) 415-7665.

What is Impact Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Impact Home Care Services LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.