IMPACT MINDS NPI 1740969567

NPI Information

NPI: 1740969567
Provider Name: IMPACT MINDS
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
9535 FOREST LN STE 119
DALLAS, TX
ZIP 75243
Phone: (469) 518-3081
Get Directions

IMPACT MINDS is an assisted living facility in Dallas, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. IMPACT MINDS NPI is 1740969567. The provider is registered as an organization entity type.

The provider's business location address is:

9535 FOREST LN STE 119
DALLAS, TX
ZIP 75243-120
Phone: (469) 518-3081

The provider's authorized official is Ashanti Mendheim .
The authorized official title is President and has the following contact phone number (469) 518-3081.

The enumeration date for this NPI number is 7/18/2023 and was last updated on 7/18/2023.

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	Primary
1	251G00000X	Hospice Care, Community Based		No
2	283Q00000X	Psychiatric Hospital		No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
4	311Z00000X	Custodial Care Facility		No
5	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
6	310500000X	Intermediate Care Facility, Mental Illness		No
7	311ZA0620X	Custodial Care Facility	Adult Care Home	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
9	320700000X	Residential Treatment Facility, Physical Disabilities		No
10	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
11	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
12	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
13	324500000X	Substance Abuse Rehabilitation Facility		No
14	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
15	310400000X	Assisted Living Facility		Yes

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: 5/5/2024

NPI Synchronization or Removal

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