Impact Kids, Inc

LBN: Impact Kids, Inc
Impact Kids, Inc is an health care organization with primary practice located at 451 Arthur Godfrey Rd , Miami Beach FL 33140-3503. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Impact Kids, Inc can be contacted via phone (305) 672-4464, or through Strom, Lisa via phone (305) 672-4464.

Contact Information

Primary practice address
451 Arthur Godfrey Rd Miami Beach FL 33140-3503
Phone: (305) 672-4464
Fax: (305) 672-4484
Website:
Map and Directions
Authorized official contact:
Name: Strom, Lisa Physical Therapist (PT)
Phone: (305) 672-4464

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT7470 Florida
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X SA8858 Florida

Profile Details

NPI number 1558544742
LBN Legal business name Impact Kids, Inc
DBA Doing business as
Authorized official Strom, Lisa Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Jun 11th, 2008 - about 16 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 1558544742 NPPES
Florida MEDICAID 892667100

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