IMPACTHEALTH
NPI 1952709206
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Milwaukee, WI

Active since December 18, 2014
3219 N 51ST BLVD, MILWAUKEE, WI 53216(414) 771-0543 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impacthealth NPPES

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

IMPACTHEALTH (NPI 1952709206) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Milwaukee, Wisconsin and active in the NPI registry since December 2014. The organization lists Yvette Johnson-towers, Directot, as its authorized official.

NPPES Registry Identity

NPI1952709206
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameIMPACTHEALTH
Location Address3219 N 51ST BLVDMilwaukee, WI 53216-3235
Mailing Address3219 N 51st BlvdMilwaukee, WI 53216-3235 · (414) 771-0543
Organization SubpartNo
Authorized OfficialYvette Johnson-towersDirectot · (414) 771-0453
Enumeration DateDecember 18, 2014
NPI 1952709206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in WI · 101528-30
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3219 N 51ST BLVD, Milwaukee, WI 53216

Other Identifiers 2

Medicaid1104264001WI
Medicaid1073805255WI

Other Providers at the Same Location NPPES 2

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

Registered Nurse
3219 N 51ST BLVD
MILWAUKEE, WI 53216
Registered Nurse (Community Health)
3219 N 51ST BLVD
MILWAUKEE, WI 53216

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 Impacthealth's NPI number?

The NPI number for Impacthealth is 1952709206. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is Impacthealth located?

Impacthealth is located at 3219 N 51st Blvd, Milwaukee, WI 53216. The listed phone number is (414) 771-0543.

What is Impacthealth's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Impacthealth was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.