Impact Life Group Home LLC
NPI 1932059359 · Developmentally Disabled Services Day Training Agency · Charlotte, NC
Impact Life Group Home LLC is a Developmentally Disabled Services Day Training Agency organization in Charlotte, NC (NPI 1932059359).
Provider details
- NPI number
- 1932059359
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jebolisa Ilukwe, Director(704) 749-4556
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Impact Life Group Home LLC's NPI number?
- Impact Life Group Home LLC's National Provider Identifier (NPI) is 1932059359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Life Group Home LLC?
- Impact Life Group Home LLC is classified in the NPPES registry as Developmentally Disabled Services Day Training Agency (Agencies).
- Where is Impact Life Group Home LLC located?
- Impact Life Group Home LLC's practice location on file with NPPES is 6412 Baltray Rd, Charlotte, NC 28278-6640.
- What is Impact Life Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Life Group Home LLC is (704) 749-4556.
- Who is the authorized official for Impact Life Group Home LLC?
- The authorized official listed on Impact Life Group Home LLC's NPPES record is Jebolisa Ilukwe, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Life Group Home LLC's NPI active?
- Yes — Impact Life Group Home LLC's NPI (1932059359) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.