Organization Active NPI

Interim Healthcare Services, Inc.

  • Nursing Care Agency
  • Blakely, PA
National Provider Identifier
1104079482
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
745705 Issued in PA
Legal business name
INTERIM HEALTHCARE SERVICES, INC.
Practice address
200 3Rd St
Blakely, PA 18447-1017
Phone
(570) 489-6781
Fax
(570) 489-1090
NPI assigned
Oct 30, 2008
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Michael Zeshonski
Title
Asst. Administrator
Phone
(570) 489-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 745705 PA Primary

Addresses

Primary practice location

200 3Rd St
Blakely, PA 18447-1017

Mailing address

200 3Rd St
Blakely, PA 18447-1017
Phone (570) 489-6781

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

200 3rd St
Olyphant, PA 18447
Phone (570) 489-6781

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1104079482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471017",
            "telephone_number": "570-489-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471017",
            "telephone_number": "570-489-6781",
            "fax_number": "570-489-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ZESHONSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "570-489-6781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "745705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakely, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.