Impact Home Care Services LLC
NPI 1215682505 · Developmentally Disabled Services Day Training Agency · Jacksonville, FL
Impact Home Care Services LLC is a Developmentally Disabled Services Day Training Agency organization in Jacksonville, FL (NPI 1215682505).
Provider details
- NPI number
- 1215682505
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shawan Davis, Owner(904) 415-7665
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
- 2022-02-16
- Last updated
- 2022-02-16
- Certified
- 2022-01-31
Frequently asked questions
- What is Impact Home Care Services LLC's NPI number?
- Impact Home Care Services LLC's National Provider Identifier (NPI) is 1215682505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Home Care Services LLC?
- Impact Home Care Services LLC is classified in the NPPES registry as Developmentally Disabled Services Day Training Agency (Agencies).
- Where is Impact Home Care Services LLC located?
- Impact Home Care Services LLC's practice location on file with NPPES is 4720 Salisbury Rd, Jacksonville, FL 32256-6101.
- What is Impact Home Care Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Home Care Services LLC is (904) 415-7665.
- Who is the authorized official for Impact Home Care Services LLC?
- The authorized official listed on Impact Home Care Services LLC's NPPES record is Shawan Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Home Care Services LLC's NPI active?
- Yes — Impact Home Care Services LLC's NPI (1215682505) is active in the NPPES registry as of the last update on 2022-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.