Impact Health

LBN: Impact Health
Impact Health is an health care organization with primary practice located at 8707 W North Ave , Wauwatosa WI 53226-2723. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care. Agencies / Home Health is the primary health care specialty. Impact Health can be contacted via phone (414) 803-4585, or through Johnson Towers, Yvette via phone (414) 803-4585.

Contact Information

Primary practice address
8707 W North Ave Wauwatosa WI 53226-2723
Phone: (414) 803-4585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson Towers, Yvette REGISTERED NURSE
Phone: (414) 803-4585

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 101528-30 Wisconsin
Agencies / Nursing Care 251J00000X 101528-30 Wisconsin

Profile Details

NPI number 1699011171
LBN Legal business name Impact Health
DBA Doing business as
Authorized official Johnson Towers, Yvette REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2013
Last updated Jan 2nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699011171 NPPES
Wisconsin MEDICAID 1073805255

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