Impression Home Healthcare & Therapy

LBN: Impression Home Healthcare & Therapy
Impression Home Healthcare & Therapy is an health care organization with primary practice located at 1701 N 14Th St , Fort Pierce FL 34950-2113. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Impression Home Healthcare & Therapy can be contacted via phone (561) 206-2289, or through Stephen, Roseguene via phone (561) 860-1339.

Contact Information

Primary practice address
1701 N 14Th St Fort Pierce FL 34950-2113
Phone: (561) 206-2289
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stephen, Roseguene
Phone: (561) 860-1339

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1508539586
LBN Legal business name Impression Home Healthcare & Therapy
DBA Doing business as
Authorized official Stephen, Roseguene
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2021
Last updated Aug 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508539586 NPPES
Florida MEDICAID 111802300

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