Impactlex, Llc

LBN: Impactlex, Llc
Impactlex, Llc is an health care organization with primary practice located at 500 Horton Ct , Lexington KY 40511-1075. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Impactlex, Llc can be contacted via phone (859) 276-0481, or through Potter, Michael K via phone (859) 489-9287.

Contact Information

Primary practice address
500 Horton Ct Lexington KY 40511-1075
Phone: (859) 276-0481
Fax: (972) 616-6144
Website:
Map and Directions
Authorized official contact:
Name: Potter, Michael K
Phone: (859) 489-9287

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1700342003
LBN Legal business name Impactlex, Llc
DBA Doing business as
Authorized official Potter, Michael K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2019
Last updated Feb 12th, 2019 - about 5 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 1700342003 NPPES
Kentucky Other 7100056370 MEDICAID PROVIDER NUMBER

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