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IMPACT LIFE RESIDENTIAL CARE
NPI 1699589010
Intermediate Care Facility, Intellectual Disabilities in Richmond, VA

Active since February 05, 2025
3203 MAURY STREET, RICHMOND, VA 23224(804) 833-6052 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Life Residential Care NPPES

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

IMPACT LIFE RESIDENTIAL CARE (NPI 1699589010) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Richmond, Virginia and active in the NPI registry since February 2025. The organization lists Olufunmi Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699589010
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameIMPACT LIFE RESIDENTIAL CARE
Location Address3203 MAURY STREETRichmond, VA 23224
Mailing Address3203 Maury StRichmond, VA 23224 · (804) 833-6052
Phone(804) 833-6052
Organization SubpartNo
Authorized OfficialOlufunmi JohnsonCeo · (804) 833-6052
Enumeration DateFebruary 5, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1699589010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3203 MAURY STREET, Richmond, VA 23224
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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 Life Residential Care's NPI number?

The NPI number for Impact Life Residential Care is 1699589010. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Impact Life Residential Care located?

Impact Life Residential Care is located at 3203 Maury Street, Richmond, VA 23224. The listed phone number is (804) 833-6052.

What is Impact Life Residential Care's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Impact Life Residential Care was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.