OrganizationActive
Impact Life, Inc
NPI 1558018432 · Substance Use Disorder Rehabilitation Clinic/Center · Seaford, DE
Provider details
- NPI number
- 1558018432
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Domenica Personti, Ceo(302) 465-0019
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
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
2 documented practice locations
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
4973 Boyce Rd
Seaford, DE 19973-6637
Phone: (302) 000-0000
Street-level locationGet directions
Mailing address
Po Box 1269
Hockessin, DE 19707-5269
Additional practice locations (1)
- 112 N Bedford StGeorgetown, DE 19947-1466Phone: (302) 858-4085
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.