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Impact Life Residential Care

Intellectual Disabilities Intermediate Care Facility in Richmond, VA · enumerated 2025 · authorized official Olufunmi Johnson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699589010

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Life Residential Care
Practice address 3203 Maury Street, Richmond, VA, 23224
Enumeration date Feb 5, 2025
Last updated in NPPES Feb 5, 2025

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Olufunmi Johnson
Title Ceo

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Impact Life Residential Care?
Impact Life Residential Care is registered in NPPES as a Intellectual Disabilities Intermediate Care Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-05.