Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VISIONARY IMPACT DEVELOPMENT LLC
NPI 1558279224
Clinic/Center in Charlotte, NC

Active since September 01, 2026
236 LANDER ST, CHARLOTTE, NC 28208(917) 941-4114 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Visionary Impact Development Llc NPPES

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

VISIONARY IMPACT DEVELOPMENT LLC (NPI 1558279224) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since September 2026. The organization lists Donald Agella, President, as its authorized official.

NPPES Registry Identity

NPI1558279224
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVISIONARY IMPACT DEVELOPMENT LLC
Location Address236 LANDER STCharlotte, NC 28208
Mailing Address227 W 4th St Ste 114Charlotte, NC 28202-1545 · (917) 941-4114
Organization SubpartNo
Authorized OfficialDonald AgellaPresident · (917) 941-4114
Enumeration DateSeptember 1, 2026
NPPES CertifiedAugust 25, 2026
NPI 1558279224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedMealsTaxonomy 174200000X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedBlood BankTaxonomy 331L00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedTransportation BrokerTaxonomy 347E00000X
236 LANDER ST, Charlotte, NC 28208

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 Visionary Impact Development LLC's NPI number?

The NPI number for Visionary Impact Development LLC is 1558279224. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Visionary Impact Development LLC located?

Visionary Impact Development LLC is located at 236 Lander St, Charlotte, NC 28208. The listed phone number is (917) 941-4114.

What is Visionary Impact Development LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Visionary Impact Development LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.