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IMPACT FAMILY SERVICES LLC

Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

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Contact Information

IMPACT FAMILY SERVICES LLC
1504 N RANDALL AVE
JANESVILLE, WI  53545
 Phone: 608-751-9265
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

 385HR2060X
Indicates primary specialty

NPI Profile & details for IMPACT FAMILY SERVICES LLC

NPI Number 1609658160
LBN Legal business name IMPACT FAMILY SERVICES LLC
Authorized official ADRIENNE CANNELLA - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2023
Last updated 09/17/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.
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