Organization · NPI-2
Imactful Love And Caare LLC
Home Health · Cockeysville, MD
NPI number1063304897
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1063304897
- Entity type
- Organization (NPI-2)
- Legal business name
- Imactful Love And Caare LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2025
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 163WC0400X | Registered Nurse, Case Management | – | – |
Other names
- Impactfulloveandcrellc (Doing Business As)
- Impactfullloveandcarellc (Doing Business As)
Practice location
615 Cranbrook Rd Apt ECockeysville, MD 21030-3845
Phone 202-300-1128
Mailing address
615 Cranbrook Rd Apt ECockeysville, MD 21030-3845
Phone 202-300-1128
Authorized official
Joshua Kala Dubose
Gna/Cna/Cmt
2023001128
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