IMPOWER INC. NPI 1104910868

NPI Information

  • NPI: 1104910868
  • Provider Name: IMPOWER, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 2290 N RONALD REAGAN BLVD STE 116
    LONGWOOD, FL
    ZIP 32750
  • Phone: (407) 331-8002

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NPI Details

IMPOWER, INC. is a community behavioral health in Longwood, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. IMPOWER, INC. NPI is 1104910868. The provider is registered as an organization entity type.

The provider's business location address is:

2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL
ZIP 32750-534
Phone: (407) 331-8002
Fax: (407) 331-8659

The provider's authorized official is Anna Marie Kesic .
The authorized official title is Ceo and has the following contact phone number (407) 215-0095.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1284300000XSpecial HospitalNo
2101Y00000XCounselorNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
53245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
6363AM0700XPhysician AssistantMedicalNo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007186500MEDICAIDFLORIDA
2006714202MEDICAIDFLORIDA
3013827000MEDICAIDFLORIDA
4759027000MEDICAIDFLORIDA
5360212505MEDICAIDFLORIDA
6006714200MEDICAIDFLORIDA
7006714203MEDICAIDFLORIDA
8360212502MEDICAIDFLORIDA
9005979100MEDICAIDFLORIDA
10006714201MEDICAIDFLORIDA
11360212500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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