Skip to main content
OrganizationActive

Impact Wellness Center Llc

Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CHARLES WADE
NPI: 1093579054Lakeside, Arizona, 85929(615) 720-8088

About Impact Wellness Center Llc

Impact Wellness Center Llc is a healthcare organization providing Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) services, with specialized expertise in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), registered under National Provider Identifier (NPI) number 1093579054.

The authorized official for Impact Wellness Center Llc is CHARLES WADE. The organization is headquartered at 3179 W WHITE MOUNTAIN BLVD, Lakeside, Arizona 85929. The main office can be reached at (615) 720-8088.

Impact Wellness Center Llc has been NPI-registered since 2024.

Locations & Contact

Primary Location

Address
3179 W WHITE MOUNTAIN BLVD
City
Lakeside
State
Arizona
ZIP
85929-6146
Phone
(615) 720-8088
View on Google Maps

Authorized Official

Name
CHARLES WADE

Mailing Address

Address
3179 W WHITE MOUNTAIN BLVD
City
LAKESIDE
State
AZ
ZIP
859296146

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Classification
Clinic/Center
Specialization
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy Code
261QR0401X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Impact Wellness Center Llc's NPI number?
Impact Wellness Center Llc's National Provider Identifier (NPI) is 1093579054. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Impact Wellness Center Llc specialize in?
Impact Wellness Center Llc specializes in Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
Where is Impact Wellness Center Llc located?
Impact Wellness Center Llc practices at 3179 W WHITE MOUNTAIN BLVD, Lakeside, Arizona 85929. You can reach them by phone at (615) 720-8088.
Does Impact Wellness Center Llc accept Medicare?
Based on available data, Impact Wellness Center Llc is not currently enrolled in the Medicare program.
Does Impact Wellness Center Llc offer telehealth or virtual visits?
Impact Wellness Center Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Impact Wellness Center Llc holds NPI 1093579054, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.