Impact Residential Care LLC
NPI 1053131417 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Avon, IN
Impact Residential Care LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Avon, IN (NPI 1053131417).
Provider details
- NPI number
- 1053131417
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Grace Uwase, Owner(207) 347-1748
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-11
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Impact Residential Care LLC's NPI number?
- Impact Residential Care LLC's National Provider Identifier (NPI) is 1053131417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Residential Care LLC?
- Impact Residential Care LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Impact Residential Care LLC located?
- Impact Residential Care LLC's practice location on file with NPPES is 8605 Talisker Dr, Avon, IN 46123-7288.
- What is Impact Residential Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Residential Care LLC is (207) 347-1748.
- Who is the authorized official for Impact Residential Care LLC?
- The authorized official listed on Impact Residential Care LLC's NPPES record is Grace Uwase, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Residential Care LLC's NPI active?
- Yes — Impact Residential Care LLC's NPI (1053131417) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.