MEDICARE: IMPACT HEALTH ALLIANCE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	163WH0200X	Home Health Registered Nurse
3	251B00000X	Case Management Agency
4	253Z00000X	In Home Supportive Care Agency
5	347C00000X	Private Vehicle
6	374U00000X	Home Health Aide
7	385H00000X	Respite Care
8	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1649154741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPACT HEALTH ALLIANCE LLC

Provider Business Mailing Address
First Line	:	1 WASHINGTON MALL # 1348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02108-2616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WASHINGTON MALL # 1348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02108-2616
Country	:	US
Telephone Number	:	617-453-8253
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL AFLAKPUI
Credential	:
Telephone Number	:	617-453-8253

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “IMPACT HEALTH ALLIANCE LLC ” Practice Location

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