Organization Active NPI

Interim Healthcare of Pittsburgh Inc

  • Home Health Agency
  • Moundsville, WV
National Provider Identifier
1114060357
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM HEALTHCARE OF PITTSBURGH INC
Practice address
245 Jefferson Ave Ste 1G
Moundsville, WV 26041-1464
Phone
(304) 843-1366
Fax
(340) 843-1399
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF PITTSBURGHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Thomas J Dimarco
Title
Chief Executive Officer
Phone
(614) 436-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

245 Jefferson Ave Ste 1G
Moundsville, WV 26041-1464

Mailing address

300 W Wilson Bridge Rd Ste 250
Worthington, OH 43085-2289
Phone (614) 436-9404

Other names 1

  • Interim HealthCare of Moundsville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000568 OH Part A Provider - Home Health Agency 7315996089 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clairsville, OH

Home health agency certification: CCN 368132

Legal name
INTERIM HEALTHCARE OF SE OHIO INC
Doing business as
INTERIM HEALTH CARE OF BRIDGEPORT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2006
Last certification
Sep 28, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 10, 2004 in OH
Enrollment address
121 E Main St
Saint Clairsville, OH 43950-1525

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of BridgeportCCN 368132
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 12, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Part of
Interim Healthcare of Pittsburgh

Locations

47445 National Rd
Ste 100
Saint Clairsville, OH 43950

1798 Plank Rd
Ste 101
Duncansville, PA 16635
Phone (814) 695-1242

2201 W Grandview Blvd
Erie, PA 16506

1407 Eisenhower Blvd
Ste 103
Johnstown, PA 15904
Phone (814) 269-3390

16269 Conneaut Lake Rd
Ste 101
Meadville, PA 16335
Phone (814) 333-1293

11528 Airport Rd
Meadville, PA 16335
Phone (814) 333-1293

311 S Craig St
Ste 200
Pittsburgh, PA 15213
Phone (412) 683-2227

285 Kappa Dr
Ste 275
Pittsburgh, PA 15238
Phone (412) 436-2200

1590 N Center Ave
Ste 104
Somerset, PA 15501
Phone (814) 445-1080

648 Morgantown Rd
Uniontown, PA 15401
Phone (724) 430-1460

648 Morgantown Rd
#C
Uniontown, PA 15401
Phone (724) 430-1460

37 Grande Meadows Dr
Ste 250
Bridgeport, WV 26330
Phone (304) 592-3538

37 Grande Meadows Dr
Ste 203
Bridgeport, WV 26330
Phone (304) 592-3538

106 Hill St
Bridgeport, WV 26330
Phone (304) 842-6900

245 Jefferson Ave
Moundsville, WV 26041
Phone (304) 843-1366

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Rachel Maple Individual W-2 Managing EmployeeAd; Dec 14, 2024
Nicholas Reiser Individual 5% Or Greater Indirect Ownership InterestCoo Jan 20, 2020
Salo Inc Organization, Worthington, OH Management services company 5% Or Greater Direct Ownership Interest Jun 26, 2015 100%
Christine D Oswald Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2015 8.56%
Corporate OfficerChief Financial Officer Jun 26, 2015 8.56%
Corporate DirectorBoard Member Jun 26, 2015 8.56%
Thomas Joseph Dimarco Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2015 75.78%
Corporate OfficerPresident & Ceo Jun 26, 2015 75.78%
Corporate DirectorBoard Member Jun 26, 2015 75.78%
Diane S Piccard Individual Corporate OfficerChief Clinical Officer Jun 26, 2015

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1114060357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WILSON BRIDGE RD STE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852289",
            "telephone_number": "614-436-9404",
            "fax_number": "614-436-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 JEFFERSON AVE STE 1G",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411464",
            "telephone_number": "304-843-1366",
            "fax_number": "340-843-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF PITTSBURGH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF PITTSBURGH",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-436-9404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Moundsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundsville, WV

Sources for this page

Verify at the official NPI Registry.