Impact Life Corporation

LBN: Impact Life Corporation
Impact Life Corporation is an health care organization with primary practice located at 6801 Kenilworth Ave Ste 300-S13 , Riverdale MD 20737-1331. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Impact Life Corporation can be contacted via phone (301) 792-1469, or through Johnson, Olufunmi via phone (301) 792-1469.

Contact Information

Primary practice address
6801 Kenilworth Ave Ste 300-S13 Riverdale MD 20737-1331
Phone: (301) 792-1469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Olufunmi PROVIDER
Phone: (301) 792-1469

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1578226460
LBN Legal business name Impact Life Corporation
DBA Doing business as
Authorized official Johnson, Olufunmi PROVIDER
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 3 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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