IMPACT COMMUNITY RESOURCES
NPI 1356069264
Community/Behavioral Health in Charlotte, NC
NPI Status: Active since August 16, 2022
Contact Information
301 MCCULLOUGH DR
CHARLOTTE, NC
ZIP 28262
Phone: (980) 276-5142
- Organization
- Community/Behavioral Health
About IMPACT COMMUNITY RESOURCES
This page provides the complete NPI Profile along with additional information for Impact Community Resources, a provider established in Charlotte, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1356069264 assigned on August 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Carlita J Randall (Clinical Director)
- NPI
- 1356069264
- Provider Name
- IMPACT COMMUNITY RESOURCES
- Entity Type
- Organization
- Location Address
- 301 MCCULLOUGH DR CHARLOTTE, NC 28262
- Location Phone
- (980) 276-5142
- Mailing Address
- 7911 BELLA VISTA CT CHARLOTTE, NC 28216
- Mailing Phone
- (704) 918-7966
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2022
- Last Update Date
- 06-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YS0200X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 251B00000X | Agencies | Case Management | |
| 4 | 253Z00000X | Agencies | In Home Supportive Care | |
| 5 | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 11 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 12 | 385H00000X | Respite Care Facility | Respite Care |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356069264, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356069264, enumerated as an "organization" on August 16, 2022.
The provider is located at 301 MCCULLOUGH DR CHARLOTTE, NC 28262 and the phone number is (980) 276-5142.
Community/Behavioral Health with taxonomy code 251S00000X.
