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Organization
LIFE IMPACT HEALTHCARE SERVICES LLC
Active
Organization
LIFE IMPACT HEALTHCARE SERVICES LLC
Active
Other names
LIFE IMPACT HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA ABOAGYE (PRESIDENT)
(571) 594-4093
Entity
Organization
Contact information
Practice address
454 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1455
(571) 594-4091
Mailing address
454 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1455
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-0005996
VDH
VA
Enumeration date
09/20/2025
Last updated
05/04/2026
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