IMPACT FOR LIFE DEVELOPMENTAL CARE LLC
NPI 1629430848
Day Training, Developmentally Disabled Services in Jacksonville, FL

Q: What is Impact For Life Developmental Care LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since March 26, 2016

9541 103RD ST, 1301, JACKSONVILLE, FL 32210(904) 482-8085 Get Directions Write a Review

NPPES record last updated: March 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Impact For Life Developmental Care Llc NPPES

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

IMPACT FOR LIFE DEVELOPMENTAL CARE LLC (NPI 1629430848) is a healthcare organization registered as a day training, developmentally disabled services in Jacksonville, Florida and active in the NPI registry since March 2016. The organization lists Shenavian F Burns, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1629430848

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameIMPACT FOR LIFE DEVELOPMENTAL CARE LLC

Location Address9541 103RD ST, 1301Jacksonville, FL 32210-0323

Mailing Address9541 103rd St, 1301Jacksonville, FL 32210-0323 · (904) 482-8085

Phone(904) 482-8085

Organization SubpartNo

Authorized OfficialShenavian F BurnsMember Manager · (904) 482-8085

Enumeration DateMarch 26, 2016

✔ NPI 1629430848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

9541 103RD ST, Jacksonville, FL 32210

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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 For Life Developmental Care LLC's NPI number?

The NPI number for Impact For Life Developmental Care LLC is 1629430848. It was assigned to this organization in the NPPES registry on March 26, 2016.

Where is Impact For Life Developmental Care LLC located?

Impact For Life Developmental Care LLC is located at 9541 103rd St 1301, Jacksonville, FL 32210. The listed phone number is (904) 482-8085.

What is Impact For Life Developmental Care LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Impact For Life Developmental Care LLC was last updated on March 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.