IMPACTFUL CARE PROFESSIONAL SERVICES LLC
NPI 1821845249
Clinic/Center in Cherry Hill, NJ
NPI Status: Active since May 03, 2024
Contact Information
923 HADDONFIELD RD STE 317
CHERRY HILL, NJ
ZIP 08002
Phone: (856) 399-7747
Fax: (856) 483-8035
- Organization
- Clinic/Center
- CLIA Number: 39D2258393
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-20-2026
About IMPACTFUL CARE PROFESSIONAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for Impactful Care Professional Services Llc, a provider established in Cherry Hill, New Jersey operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1821845249 assigned on May 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Impactful Care Professional Services Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kiplee Bell Md, Pa-c, Ms (Ceo,founder)
- NPI
- 1821845249
- Provider Name
- IMPACTFUL CARE PROFESSIONAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 923 HADDONFIELD RD STE 317 CHERRY HILL, NJ 08002
- Location Phone
- (856) 399-7747
- Location Fax
- (856) 483-8035
- Mailing Address
- 923 HADDONFIELD RD STE 317 CHERRY HILL, NJ 08002
- Mailing Phone
- (856) 399-7747
- Mailing Fax
- (856) 483-8035
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2024
- Last Update Date
- 05-03-2024
- Code Navigator
Location Map
Secondary Locations
- 18 Campus Blvd Ste 100
Newtown Square, PA 19073
(856) 399-7747
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174H00000X | Other Service Providers | Health Educator | |
| 2 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2258393
- Facility Type
- Physician Office
- Certificate Effective Date
- April 21, 2024
- Certificate Expiration Date
- April 20, 2026
- Laboratory Director
- DR. RUPPERT A. HAWES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Impactful Care Professional Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 8 | 4 | 5 | 2 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 16 | 4 | 10 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 6 + 4 + 1 + 0 + 2 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1821845249 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821845249, enumerated in the NPI registry as an "organization" on May 03, 2024
The provider is located at 923 Haddonfield Rd Ste 317 Cherry Hill, Nj 08002 and the phone number is (856) 399-7747
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 39D2258393 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 03, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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