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

Impact Residential Care LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1053131417

Impact Residential Care LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Avon, Indiana. Registered with an NPI since 2024.

In the registry since
2024
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

8605 Talisker Dr
Avon, IN 46123-7288
Phone: (207) 347-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1053131417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Uwase — Owner · (207) 347-1748
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address8605 Talisker Dr, Avon, IN 46123-7288

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