Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Impact Wellness Center LLC

Q: What is the NPI number for Impact Wellness Center LLC?

The NPI for Impact Wellness Center LLC is 1093579054, a Type 2 (organization) record in the CMS NPPES registry.

Comprehensive Outpatient Rehabilitation Facility (CORF) in Lakeside, AZ · enumerated 2024 · authorized official Charles Wade, Owner.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1093579054

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Registry record

Entity type Organization (Type 2)

Legal business name Impact Wellness Center LLC

Practice address 3179 W White Mountain Blvd, Lakeside, AZ, 85929

Phone (615) 720-8088

Enumeration date Feb 9, 2024

Last updated in NPPES May 1, 2024

Taxonomy & classification

261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities Primary

Authorized official

Name Charles Wade

Title Owner

Phone (615) 720-8088

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Impact Wellness Center LLC?

The NPI for Impact Wellness Center LLC is 1093579054, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Impact Wellness Center LLC?

NPPES lists Charles Wade (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-05-01.