IMPACTFUL HUMAN SERVICES LLC (NPI# 1598375305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598375305 |
| Entity Type | Organization |
| Organization Name | IMPACTFUL HUMAN SERVICES LLC |
| Practice Address |
1055 Westlakes Dr Ste 3003 Berwyn PA 19312-2410 |
| Mailing Address |
1055 Westlakes Dr Ste 300 Berwyn PA 19312-2410 |
| Practice Telephone | 8775004742 |
| Practice Fax Number | 8775004742 |
| Mailing Telephone | 8775004742 |
| Mailing Fax Number | 8775004742 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | NATE A MCNEIL (OWNER) |
| Authorized Official Telephone | 8775004742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Impactful Human Services LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133276 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-08-04 |
| 1568072759 | Impactful Human Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-08-03 |
| Street Address |
1055 WESTLAKES DR STE 3003 |
| City | BERWYN |
| State | PA |
| Zip Code | 19312-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
| 1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
| 1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
| 1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
| 1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| 1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
| Find all providers in zip 19312 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1598239667 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-11 |
| 1780158857 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 133 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-11 |
| 1871067942 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 149 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-11 |
| 1669513230 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Leopard Rd, Berwyn, PA 19312-1809 | 2007-02-08 |
| 1174133276 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-08-04 |
| 1952875023 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| 1922643824 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 137 Mathews St Ste 1500, Greensburg, PA 15601-6940 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IMPACTFUL HUMAN SERVICES LLC.
| 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.