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IMPACT LIFE GROUP HOME LLC
NPI 1932059359
Day Training, Developmentally Disabled Services in Charlotte, NC

Active since February 03, 2026
6412 BALTRAY RD, CHARLOTTE, NC 28278(704) 749-4556 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Impact Life Group Home Llc NPPES

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

IMPACT LIFE GROUP HOME LLC (NPI 1932059359) is a healthcare organization registered as a day training, developmentally disabled services in Charlotte, North Carolina and active in the NPI registry since February 2026. The organization lists Jebolisa S Ilukwe, Director, as its authorized official.

NPPES Registry Identity

NPI1932059359
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameIMPACT LIFE GROUP HOME LLC
Location Address6412 BALTRAY RDCharlotte, NC 28278-6640
Mailing Address6412 Baltray RdCharlotte, NC 28278-6640 · (704) 749-4556
Phone(704) 749-4556
Organization SubpartNo
Authorized OfficialJebolisa S IlukweDirector · (704) 749-4556
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1932059359 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.
6412 BALTRAY RD, Charlotte, NC 28278
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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 Group Home LLC's NPI number?

The NPI number for Impact Life Group Home LLC is 1932059359. It was assigned to this organization in the NPPES registry on February 3, 2026.

Where is Impact Life Group Home LLC located?

Impact Life Group Home LLC is located at 6412 Baltray Rd, Charlotte, NC 28278. The listed phone number is (704) 749-4556.

What is Impact Life Group Home 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 Life Group Home LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.