Healthcare Provider Details

I. General information

NPI: 1962698084
Provider Name (Legal Business Name): IMPACT HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S WILMINGTON ST STE 201
RALEIGH NC
27603-3512
US

IV. Provider business mailing address

3535 S WILMINGTON ST STE 201
RALEIGH NC
27603-3512
US

V. Phone/Fax

Practice location:
  • Phone: 919-400-6144
  • Fax: 917-779-5244
Mailing address:
  • Phone: 919-400-6144
  • Fax: 919-779-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC3151
License Number StateNC

VIII. Authorized Official

Name: MS. VIOLET IFEOMA SMART
Title or Position: PRESIDENT
Credential:
Phone: 919-400-6144