Impact for Life Developmental Care LLC
NPI 1629430848 · Developmentally Disabled Services Day Training Agency · Jacksonville, FL
Impact for Life Developmental Care LLC is a Developmentally Disabled Services Day Training Agency organization in Jacksonville, FL (NPI 1629430848).
Provider details
- NPI number
- 1629430848
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shenavian Burns, Member Manager(904) 482-8085
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-03-26
- Last updated
- 2016-03-26
Frequently asked questions
- What is Impact for Life Developmental Care LLC's NPI number?
- Impact for Life Developmental Care LLC's National Provider Identifier (NPI) is 1629430848, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact for Life Developmental Care LLC?
- Impact for Life Developmental Care LLC is classified in the NPPES registry as Developmentally Disabled Services Day Training Agency (Agencies).
- Where is Impact for Life Developmental Care LLC located?
- Impact for Life Developmental Care LLC's practice location on file with NPPES is 9541 103rd St, Jacksonville, FL 32210-0323.
- What is Impact for Life Developmental Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact for Life Developmental Care LLC is (904) 482-8085.
- Who is the authorized official for Impact for Life Developmental Care LLC?
- The authorized official listed on Impact for Life Developmental Care LLC's NPPES record is Shenavian Burns, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact for Life Developmental Care LLC's NPI active?
- Yes — Impact for Life Developmental Care LLC's NPI (1629430848) is active in the NPPES registry as of the last update on 2016-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.