IMPACTHEALTH, LLC (NPI# 1104264001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104264001 |
| Entity Type | Organization |
| Organization Name | IMPACTHEALTH, LLC |
| Other Organization Name | NURSING SERVICES FOR THOSE WITH SPECIAL NEEDS |
| Practice Address |
3219 N 51st Blvd Milwaukee WI 53216-3235 |
| Practice Telephone | 4147710543 |
| Practice Fax Number | 2626494375 |
| Mailing Telephone | 4147710543 |
| Mailing Fax Number | 2626494375 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | MRS. YVETTE JOHNSON-TOWERS (PRESIDENT) |
| Authorized Official Telephone | 4147710543 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
10158-30 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1073805255 | 05 |
| Other Name | Type Code |
|---|---|
| Nursing Services for those with Special Needs | Doing Business As Name - Organization |
| Street Address |
3219 N 51ST BLVD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073805255 | Yvette Johnson Towers | Registered Nurse | 3219 N 51st Blvd, Milwaukee, WI 53216-3235 | 2011-05-06 |
| 1952709206 | Impacthealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3219 N 51st Blvd, Milwaukee, WI 53216-3235 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093252512 | Megan Lindemann | Registered Nurse | 4150 S Herman St, Milwaukee, WI 53207-5118 | 2017-01-22 |
| 1396773016 | Jean Carol Bell-calvin | Registered Nurse | 5460 N 64th St, Milwaukee, WI 53218-3020 | 2006-06-29 |
| 1609866045 | Virginia Bastian | Registered Nurse | 1028 S 9th St, Milwaukee, WI 53204-1335 | 2005-10-26 |
| 1316572050 | Tamra Danielle Stewart | Registered Nurse | 2814 S 108th St, Milwaukee, WI 53227-3224 | 2020-03-03 |
| 1639427040 | Patricia Ann Stein | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-08-16 |
| 1013941798 | Michele Ann De'brabant | Registered Nurse | 5460 N 64th St, Milwaukee, WI 53218-3020 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465408 | Cindy Brosig | Registered Nurse | 1570 Traut Rd, Marshall, WI 53559-9600 | 2020-04-08 |
| 1124595731 | Lana Berry | Registered Nurse | 3314 Miller St, Eau Claire, WI 54701-7646 | 2018-11-01 |
| 1295137305 | Jini L Ruplinger | Registered Nurse | 7203 Woodsmoke Rd, Wausau, WI 54401-9236 | 2014-09-19 |
| 1265778021 | Debbie Jean Heitzer | Registered Nurse | W349n5900 Sunflower Ct, Oconomowoc, WI 53066-6724 | 2012-12-26 |
| 1134480379 | Michelle A Pevonka-thompson | Registered Nurse | 128 Northbreeze Dr, Appleton, WI 54911-1225 | 2012-06-05 |
| 1619244779 | Pamela Ann Evers | Registered Nurse | 1335 Market St, La Crosse, WI 54601-4846 | 2011-11-17 |
| 1639469760 | Andrea K Manzer | Registered Nurse | 303 Elm Street, Communtiy Health, Odanah, WI 54861 | 2011-04-11 |
| 1215247432 | Kirsten Elizabeth Dolan Drewlow | Registered Nurse | 1407 Saint Andrew Street, Suite 100, Lacrosse, WI 54603-2378 | 2010-10-21 |
| 1437468915 | Vicki Lynn Freemore Dorn | Registered Nurse | 617 Farmer Ave, Tomah, WI 54660-2236 | 2010-09-30 |
| 1386875813 | Teresa L Baird | Registered Nurse | 1047 St Andrew Street, Lacrosse, WI 54603-2378 | 2009-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.