NPIMap

Organization Active NPI

Interim Healthcare of Kansas City, Inc

  • Community Based Hospice Care Agency
  • Overland Park, KS
National Provider Identifier
1073850111
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INTERIM HEALTHCARE OF KANSAS CITY, INC
Practice address
10977 Granada LN
Suite 205
Overland Park, KS 66211-1468
Phone
(913) 381-3100
Fax
(913) 642-5683
NPI assigned
Jan 9, 2013
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF KANSAS CITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Charles Grewell
Title
General Manager
Phone
(913) 381-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

10977 Granada LN
Suite 205
Overland Park, KS 66211-1468

Mailing address

10977 Granada LN
Suite 230
Overland Park, KS 66211-1468
Phone (913) 381-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130131000190 KS Part A Provider - Hospice 2769391820 Practice locations: Overland Park, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073850111. Details of each certification follow.

Hospice certification: CCN 171590

Legal name
INTERIM HEALTHCARE OF KANSAS CITY, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 30, 2013
Last certification
Jun 13, 2024
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Jun 2, 1975 in MO
Enrollment address
10977 Granada LN
Ste 105
Overland Park, KS 66211-1415

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Interim Healthcare of Kansas City, IncCCN 171590 · All quality measures
Ownership
For-Profit
Certified
Aug 30, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Interim Health Care5 organizations share this tax ID, including this one
Part of
Interim Health Care

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kari Mellin Individual W-2 Managing EmployeeAdministrator/Clinical Director Nov 13, 2019
Operational/Managerial ControlAdministrator/Clinical Director Nov 13, 2019
Jerry M. Hess Individual 5% Or Greater Direct Ownership Interest Jun 2, 1975 50%
Corporate OfficerPresident Jun 2, 1975
Corporate DirectorPresident Jun 2, 1975
Donna M. Hess Individual 5% Or Greater Direct Ownership Interest Jun 2, 1975 50%
Corporate OfficerVice President Jun 2, 1975
Corporate DirectorVice President Jun 2, 1975
Charles L. Grewell Individual W-2 Managing EmployeeGeneral Manager Jan 1, 2000
Operational/Managerial ControlGeneral Manager Jan 1, 2000

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1073850111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-381-3100",
            "fax_number": "913-730-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-381-3100",
            "fax_number": "913-642-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF KANSAS CITY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF KANSAS CITY",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GREWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "913-381-3100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.