Impact Life Residential Care
NPI 1699589010 · Intellectual Disabilities Intermediate Care Facility · Richmond, VA
Impact Life Residential Care is a Intellectual Disabilities Intermediate Care Facility organization in Richmond, VA (NPI 1699589010).
Provider details
- NPI number
- 1699589010
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Olufunmi Johnson, Ceo(804) 833-6052
Specialties & taxonomies
Nursing & Custodial Care 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
Other names (DBA / former)
- Other name
- N/A
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-02-05
- Certified
- 2025-01-31
Frequently asked questions
- What is Impact Life Residential Care's NPI number?
- Impact Life Residential Care's National Provider Identifier (NPI) is 1699589010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Life Residential Care?
- Impact Life Residential Care is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Impact Life Residential Care located?
- Impact Life Residential Care's practice location on file with NPPES is 3203 Maury Street, Richmond, VA 23224.
- What is Impact Life Residential Care's phone number?
- The practice phone number listed in the NPPES registry for Impact Life Residential Care is (804) 833-6052.
- Who is the authorized official for Impact Life Residential Care?
- The authorized official listed on Impact Life Residential Care's NPPES record is Olufunmi Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Life Residential Care's NPI active?
- Yes — Impact Life Residential Care's NPI (1699589010) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.