# IMPACT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Nurse at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720671175
- **Authorized official:** DANA CASTLEBERRY (ADMINISTRATOR)
- **Authorized official phone:** (951) 579-9198

## Contact information

- **Practice address:** 310 VIA VERA CRUZ STE 202, SAN MARCOS, CA 92078-2632
- **Practice address phone:** (951) 579-9198
- **Mailing address:** 1852 FOXFIRE RD, FALLBROOK, CA 92028-4106
- **Mailing address phone:** (951) 579-9198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2021
- **Last updated:** 02/17/2021