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IMPACTFUL HUMAN SERVICES LLC NPI 1568072759


NPI Information

NPI: 1568072759
Provider Name: IMPACTFUL HUMAN SERVICES LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1055 WESTLAKES DR STE 300
BERWYN, PA
ZIP 19312
Phone: (877) 500-4742
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IMPACTFUL HUMAN SERVICES LLC is a residential treatment facility, intellectual and/or developmental disabilities in Berwyn, PA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. IMPACTFUL HUMAN SERVICES LLC NPI is 1568072759. The provider is registered as an organization entity type.

The provider's business location address is:

1055 WESTLAKES DR STE 300
BERWYN, PA
ZIP 19312-410
Phone: (877) 500-4742
Fax: (877) 500-4742

The provider's authorized official is Edwina Vanotoo .
The authorized official title is Office Manager and has the following contact phone number (877) 500-4742.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 4/28/2024

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