Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Impact Home Care Services LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1215682505

Impact Home Care Services LLC is a Developmentally Disabled Services Day Training Agency in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4720 Salisbury Rd Unit 110
Jacksonville, FL 32256-6101
Phone: (904) 415-7665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1215682505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawan Davis — Owner · (904) 415-7665
NPI enumeratedFebruary 16, 2022
Last updated in NPPESFebruary 16, 2022
Certification dateJanuary 31, 2022
Mailing address6700 Bowden Rd Unit 1104, Jacksonville, FL 32216-3672

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