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Contact Information

MOMENT OF IMPACT, INC
8456-BRUNSWICK CT N
MINNEAPOLIS, MN55443
 Phone: 763-416-0095
 Fax: 763-515-7889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care

385H00000X
 

Assisted Living Facility

310400000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for MOMENT OF IMPACT, INC

NPI Number 1801972963
LBN Legal business name MOMENT OF IMPACT, INC
Authorized official PATRICK UGIAGBE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # 1040454-1-CFC
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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