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IMPACT LIFE CORPORATION
NPI 1578226460
Home Health in Riverdale, MD

Active since October 18, 2021
6801 KENILWORTH AVE STE 300-S13, RIVERDALE, MD 20737(301) 792-1469 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Impact Life Corporation NPPES

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

IMPACT LIFE CORPORATION (NPI 1578226460) is a healthcare organization registered as a home health in Riverdale, Maryland and active in the NPI registry since October 2021. The organization lists Olufunmi Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1578226460
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameIMPACT LIFE CORPORATION
Location Address6801 KENILWORTH AVE STE 300-S13Riverdale, MD 20737-1331
Mailing Address6801 Kenilworth Ave Ste 300-s13Riverdale, MD 20737-1331 · (301) 792-1469
Phone(301) 792-1469
Organization SubpartNo
Authorized OfficialOlufunmi JohnsonOwner · (301) 792-1469
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1578226460 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.
6801 KENILWORTH AVE STE 300-S13, Riverdale, MD 20737
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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.

ADUMA NURSING SERVICES LLC
In Home Supportive Care
6801 KENILWORTH AVE STE 300-S13
RIVERDALE, MD 20737
Prince George's County (240) 714-8603
OLUFUNMI LOLA JOHNSON
Home Health Aide
6801 KENILWORTH AVE STE 300-S13
RIVERDALE, MD 20737
Prince George's County (301) 792-1469
FALCON ELITE PARTHERS
Non-emergency Medical Transport (VAN)
6801 KENILWORTH AVE STE 300-S13
RIVERDALE, MD 20737
Prince George's County (240) 714-8603

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 Corporation's NPI number?

The NPI number for Impact Life Corporation is 1578226460. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Impact Life Corporation located?

Impact Life Corporation is located at 6801 Kenilworth Ave Ste 300-S13, Riverdale, MD 20737. The listed phone number is (301) 792-1469.

What is Impact Life Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Life Corporation was last updated on October 18, 2021. 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.