OrganizationActive
Impact Adult Services, LLC
NPI 1720402001 · Developmentally Disabled Services Day Training Agency · North Chesterfield, VA
Provider details
- NPI number
- 1720402001
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Debbie Cadet, Chief Administrative Officer(804) 301-9624
- License
- 88301001 (VA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5536 Koufax Dr
North Chesterfield, VA 23234-2897
Phone: (804) 301-9624
Street-level locationGet directions
Mailing address
14507 Glenmorgan Dr
Chester, VA 23831-6638
Registry dates
- Enumerated
- 2014-02-07
- Last updated
- 2014-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.