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

Impact Lives LLC

Organization In Home Supportive Care Agency · NPI 1619659232

Impact Lives LLC is an In Home Supportive Care Agency in Austin, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

901 S Mopac Expy Ste 300
Austin, TX 78746-5883
Phone: (512) 920-0043
Fax: (512) 375-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1619659232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raoul Libam — Ambr · (571) 474-8383
NPI enumeratedAugust 3, 2023
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address901 S Mopac Expy Ste 300, Austin, TX 78746-5883

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