IMPACT COMMUNITY AND COORDINATED SERVICES, LLC


Address: 2605 Carver St, Durham, NC 27705-2720
Phone: 9194718888

IMPACT COMMUNITY AND COORDINATED SERVICES, LLC (NPI# 1538325436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538325436
Entity Type Organization
Organization Name IMPACT COMMUNITY AND COORDINATED SERVICES, LLC
Practice Address 2605 Carver St
Durham
NC 27705-2720
Practice Telephone 9194718888
Practice Fax Number 9194718888
Mailing Telephone 9194718888
Mailing Fax Number 9194718888
Enumeration Date 2008-07-31
Last Update Date 2008-07-31
Authorized Official Name MS. TOWANDA RAWLS BOOKER (AGENCY DIRECTOR)
Authorized Official Telephone 9194718888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management NC Agencies
N 251C00000X Day Training, Developmentally Disabled Services NC Agencies
Y 251S00000X Community/Behavioral Health NC Agencies

Office Location

Street Address 2605 CARVER ST
City DURHAM
State NC
Zip Code 27705-2720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
Find all providers in zip 27705

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417578667 Alternative Choice Home Care Agency, LLC Community/Behavioral Health 800 N Mangum St Ste A-i, Durham, NC 27701-2260 2020-04-29
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1457916132 Kalvin Franklin Jr. Community/Behavioral Health 2632 Cherry Creek Dr, Durham, NC 27703-5746 2019-05-07
1356804108 Komkare Empowerment Center Community/Behavioral Health 1058 W Club Blvd Ste 232, Durham, NC 27701-1149 2019-04-09
1952883431 Willow Oak Therapy, Pllc Community/Behavioral Health 3622 Lyckan Pkwy Ste 6006, Durham, NC 27707-2539 2018-08-31
1033634886 Liasions Community Care Community/Behavioral Health 304a N Driver St, Durham, NC 27703-3058 2017-08-12
1447785134 Nathaniel David Sawyer Community/Behavioral Health 5731 N Roxboro Rd, Durham, NC 27712-1427 2017-05-01
1376075556 Baart Community Healthcare Community/Behavioral Health 800 N Mangum St Ste 300&400, Durham, NC 27701-2260 2017-03-28
1457807968 Therapeutic Interventions Pllc Community/Behavioral Health 1058 W Club Blvd Ste 602, Durham, NC 27701-1159 2016-08-25
1912355298 Harmony Healthcare Services, LLC Community/Behavioral Health 4004 Ben Franklin Blvd Ste C, Durham, NC 27704-2384 2016-05-27
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27705

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Dataset Information

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.

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