Provider Demographics
NPI:1285484394
Name:IMPACT HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:IMPACT HEALTH PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RADMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-909-6526
Mailing Address - Street 1:10869 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5280
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11000 N SCOTTSDALE RD STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5270
Practice Address - Country:US
Practice Address - Phone:602-909-6526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty