Interim Healthcare of Riverside, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000032 Issued in CA

Legal business name

INTERIM HEALTHCARE OF RIVERSIDE, INC.

Practice address

7000 Indiana Ave
Suite 107
Riverside, CA 92506-4154

Phone

(951) 684-6111

Fax

(951) 781-9947

NPI assigned

Jun 11, 2006

Last updated

Nov 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Slupecki

Title

Cfo

Phone

(954) 858-2753

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Interim Healthcare of Riverside Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Interim Healthcare of Riverside, Inc.

  • Home Health Agency
  • Apple Valley, CA
  • NPI 1821112681
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Interim Healthcare of Riverside, Inc.

  • Home Health Agency
  • Apple Valley, CA
  • NPI 1821112681
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1043252554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAWGRASS CORPORATE PKWY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232827",
            "telephone_number": "954-858-2871",
            "fax_number": "954-858-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 INDIANA AVE",
            "address_2": "SUITE 107",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064154",
            "telephone_number": "951-684-6111",
            "fax_number": "951-781-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF RIVERSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SLUPECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-858-2753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70293G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute for Family Centered Services Inc. (California MENTOR)
• Integrated Behavioral Health Nursing PC
• Integrated Injury Management Services Inc
• Integrated Management & Diagnostic Services
• Integrity Health Medical Group
• Interim Homestyle Services, Inc.
• Mya Bethany Inzinga
• Axel Ivan Inzunza
• Elena Diana Inzunza, LCSW
• Jay Ip

• Home Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.