Major Impact Support Services, Inc

LBN: Major Impact Support Services, Inc
Major Impact Support Services, Inc is an health care organization with primary practice located at 8875 Hidden River Pkwy , Tampa FL 33637-1035. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Case Management is the primary health care specialty. Major Impact Support Services, Inc can be contacted via phone (239) 226-4357, or through Major, Clayton Lambert via phone (239) 822-8401.

Contact Information

Primary practice address
8875 Hidden River Pkwy Tampa FL 33637-1035
Phone: (239) 226-4357
Fax: (239) 226-4352
Website:
Map and Directions
Authorized official contact:
Name: Major, Clayton Lambert MS
Phone: (239) 822-8401

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1952967887
LBN Legal business name Major Impact Support Services, Inc
DBA Doing business as
Authorized official Major, Clayton Lambert MS
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2019
Last updated May 16th, 2019 - about 6 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 1952967887 NPPES
Florida MEDICAID 003799000

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