1. Home
  2. Directory
  3. Delaware
  4. Seaford
  5. Clinic Center
  6. NPI Profile

IMPACT LIFE, INC
NPI 1558018432
Clinic/Center - Rehabilitation, Substance Use Disorder in Seaford, DE

Active since March 09, 2022
4973 BOYCE RD, SEAFORD, DE 19973(302) 000-0000 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Jun 1, 2023, Mar 9, 2022 (3 updates tracked since 2022).

About Impact Life, Inc NPPES

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

IMPACT LIFE, INC (NPI 1558018432) is a healthcare organization registered as a rehabilitation, substance use disorder in Seaford, Delaware and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Georgetown and lists Domenica Personti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558018432
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameIMPACT LIFE, INC
Location Address4973 BOYCE RDSeaford, DE 19973-6637
Mailing AddressPo Box 1269Hockessin, DE 19707-5269
Phone(302) 000-0000
Organization SubpartNo
Authorized OfficialDomenica PersontiCeo · (302) 465-0019
Enumeration DateMarch 9, 2022
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1558018432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4973 BOYCE RD, Seaford, DE 19973
Open in Google Maps ↗

Secondary Practice Location 1

Location 1112 N Bedford StGeorgetown, DE 19947-1466 · Phone (302) 858-4085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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 08D2266952

Impact Life · Seaford, DE
Expired · Aug 17, 2026
CLIA Number08D2266952
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDomenica Personti
Laboratory Phone(302) 465-0019
Laboratory LocationImpact Life4973 Boyce Road, Seaford, DE 19973
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 3

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

MARY OWENS
Peer Specialist
4973 BOYCE RD
SEAFORD, DE 19973
Sussex County (302) 384-6401
BLAKE DENNEY
Peer Specialist
4973 BOYCE RD
SEAFORD, DE 19973
Sussex County (302) 384-6401
ASHLEY GRAY LPCMH
Clinic/Center (Rehabilitation, Substance Use Disorder)
4973 BOYCE RD
SEAFORD, DE 19973
Sussex County (302) 536-7075

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 Life, Inc's NPI number?

The NPI number for Impact Life, Inc is 1558018432. It was assigned to this organization in the NPPES registry on March 9, 2022.

Where is Impact Life, Inc located?

Impact Life, Inc is located at 4973 Boyce Rd, Seaford, DE 19973. The listed phone number is (302) 000-0000.

What is Impact Life, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Impact Life, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Impact Life, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Life, Inc was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.