MAKING AN IMPACT LLC NPI 1447902192

NPI Information

  • NPI: 1447902192
  • Provider Name: MAKING AN IMPACT LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: ICARUS BEHAVIORAL HEALTH
  • Address: 2501 MONTERREY RD NE
    RIO RANCHO, NM
    ZIP 87144
  • Phone: (719) 651-7584

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NPI Details

MAKING AN IMPACT LLC is a substance abuse rehabilitation facility in Rio Rancho, NM. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MAKING AN IMPACT LLC NPI is 1447902192. The provider is registered as an organization entity type.
The provider Is Doing Business As Icarus Behavioral Health.

The provider's business location address is:

2501 MONTERREY RD NE
RIO RANCHO, NM
ZIP 87144-600
Phone: (719) 651-7584

The provider's authorized official is Paul Covelli .
The authorized official title is Owner and has the following contact phone number (719) 651-7584.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 12/8/2022.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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