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IMPACT LIFE, INC
NPI 1801727490
Family Medicine in Newark, DE

Active since May 25, 2026CLIA 08D2337365 · Waiver
90 BLUE HEN DR, NEWARK, DE 19713(302) 485-0702 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 4, 2026, May 25, 2026 (2 updates tracked since 2026).

About Impact Life, Inc NPPES

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

IMPACT LIFE, INC (NPI 1801727490), doing business as Impact Life Primary Care, is a healthcare organization registered as a family medicine in Newark, Delaware and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Lauren Steward, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1801727490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPACT LIFE, INC
Location Address90 BLUE HEN DRNewark, DE 19713-3406
Mailing AddressPo Box 1269Hockessin, DE 19707-5269
Phone(302) 485-0702
Organization SubpartYes
Authorized OfficialLauren StewardDirector Of Administration · (302) 485-0702
Enumeration DateMay 25, 2026
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1801727490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
90 BLUE HEN DR, Newark, DE 19713
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Other Names 1

Doing Business AsImpact Life Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2337365

Impact Life Inc., Outpatient Services · Newark, DE
Active · expires Jan 21, 2028
CLIA Number08D2337365
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Mark Harris
Laboratory Phone(443) 981-9443
Laboratory LocationImpact Life Inc., Outpatient Services90 Blue Hen Drive, Newark, DE 19713
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPACT LIFE, INC
Counselor (Mental Health)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
JENNIFER L MUZZI
Dietitian, Registered
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
JENNIFER CALAHAN NCC, LPCMH
Counselor (Mental Health)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
DOMENICA A PERSONTI
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
EMILY MCBRIDE CADC
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
NICOLE ANN TAYLOR
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
VICTORIA DOVER
Nurse Practitioner (Psychiatric/Mental Health)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
KARYNNA BEQUETTE LCSW
Social Worker (Clinical)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702

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, Inc's NPI number?

The NPI number for Impact Life, Inc is 1801727490. It was assigned to this organization in the NPPES registry on May 25, 2026. The provider is doing business as Impact Life Primary Care.

Where is Impact Life, Inc located?

Impact Life, Inc is located at 90 Blue Hen Dr, Newark, DE 19713. The listed phone number is (302) 485-0702.

What is Impact Life, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Impact Life, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2337365) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Life, Inc was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.