# IMACTFUL LOVE AND CAARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** impactfullloveandcarellc, impactfulloveandcrellc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063304897
- **Authorized official:** MR. JOSHUA KALA DUBOSE CEO (GNA/CNA/CMT)
- **Authorized official phone:** (202) 300-1128

## Contact information

- **Practice address:** 615 CRANBROOK RD APT E, COCKEYSVILLE, MD 21030-3845
- **Practice address phone:** (202) 300-1128
- **Mailing address:** 615 CRANBROOK RD APT E, COCKEYSVILLE, MD 21030-3845
- **Mailing address phone:** (202) 300-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 07/16/2025