IMPACT CHARTER ELEMENTARY
NPI 1609245489
Local Education Agency (LEA) in Baker, LA

Active since September 22, 2015CLIA 19D2208770 · Waiver
4815 LAVEY LN, BAKER, LA 70714(225) 308-9565 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 19D2208770
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 01-07-2027

About IMPACT CHARTER ELEMENTARY

This page provides the complete NPI Profile along with additional information for Impact Charter Elementary, a provider established in Baker, Louisiana operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1609245489 assigned on September 2015. The practitioner's primary taxonomy code is 251300000X with license number W8A001 (LA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Impact Charter Elementary. The authorized official of this NPI record is Chakesha Scott Mba (Ceo)

NPI
1609245489 Verify this NPI
Provider Legal Name
EDUCATION EXPLOSION, INC.
Other Organization Name
IMPACT CHARTER ELEMENTARY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4815 LAVEY LN BAKER, LA 70714
Location Phone
(225) 308-9565
Mailing Address
4815 LAVEY LN BAKER, LA 70714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2015
Last Update Date
09-22-2015
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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

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
License No.
W8A001
License State
LA
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHAKESHA SCOTT MBA

Authorized Official Title
CEO
Authorized Official Phone
(225) 308-9565

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2208770
Facility Type
School/Student Health Service
Certificate Effective Date
January 08, 2025
Certificate Expiration Date
January 07, 2027
Laboratory Director
CHAKESHA SCOTT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Impact Charter Elementary to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for IMPACT CHARTER ELEMENTARY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609245489, enumerated as an "organization" on September 22, 2015.

The provider is located at 4815 LAVEY LN BAKER, LA 70714 and the phone number is (225) 308-9565.

Local Education Agency (LEA) with taxonomy code 251300000X.