Interim Health Care Srvcs, Inc.
Organization Active NPI Home Health Agency · Blakely, PA
NPI 1043391832 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1043391832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 745705 (PA)
- Legal business name
- INTERIM HEALTH CARE SRVCS, INC.
- Practice address
- 200 3Rd St
First Floor
Blakely, PA 18447-1017 - Phone
- (570) 883-9773
- Fax
- (570) 883-9779
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Zeshonski
- Title
- Asst. Administrator
- Phone
- (570) 489-6781
Corporate family (same tax ID) 2
Practitioners 1
-
Marissa Kay Sanders, LPN
Medicare Care Compare: Home health agency
- Listed as
- Interim Healthcare Services Inc
- Ownership
- Proprietary
- Certified
- Feb 19, 1987
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 397457
- Legal name
- INTERIM HEALTH CARE SRVCS, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 19, 1987
- Last certification
- Feb 21, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 2, 1988 in PA
- Enrollment address
- 200 3Rd St
# 1
Blakely, PA 18447-1017
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Carl F Zeshonski |
5% Or Greater Direct Ownership Interest |
Feb 8, 2010 | 83% |
| Corporate Officer |
Feb 28, 2010 | 50% | |
| Corporate Director |
Feb 8, 2010 | 50% | |
| W-2 Managing Employee |
Feb 8, 2010 | 50% | |
| Michael Zeshonski |
5% Or Greater Direct Ownership Interest |
Oct 2, 2020 | 8.5% |
| Corporate Officer |
Apr 1, 2013 | 50% | |
| Corporate Director |
Apr 1, 2013 | 50% | |
| W-2 Managing Employee |
Feb 8, 2010 | 33% | |
| Mark Zeshonski |
5% Or Greater Direct Ownership Interest |
Oct 2, 2020 | 8.5% |
| W-2 Managing Employee |
Oct 2, 2020 | 33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100407000152 | PA | Part a Provider - Home Health Agency | 5395780902 | Practice locations: Blakely, PA |
National Provider Directory
- Tax ID family
- Interim Healthcare Services Inc
Locations
7310 Tilghman St
Ste 400
Allentown, PA 18106
Phone (610) 434-7277
200 3rd St
#1
Olyphant, PA 18447
Phone (570) 489-6781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Licensed Practical Nurse |
164W00000X | |||
| Home Health Agency | 251E00000X | 745705 | PA | Yes |
Addresses
Primary practice location
200 3Rd St
First Floor
Blakely, PA 18447-1017
Mailing address
200 3Rd St
First Floor
Blakely, PA 18447-1017
Phone (570) 883-9773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000044970007 | Medicaid | PA | |
| 397457 | Other | PA | BLUE CROSS OF NEPA |
Other providers in Blakely, PA
- GMC LCSW LLC
- Carlyn B Gregory
- Alfred E Hardaway
- Rebekah Susan Howell
- Interim Health Care Services of NE PA Inc.
- Interim Healthcare Services, Inc.
- John a. Scanland Dpmpc
- Jesse Kabana
- Kate Conklin, Registered Dietitian, LLC
- Cara Marie Koslow
All providers in Blakely, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.