Active NPI
Interim Healthcare of Pittsburgh Inc
- Home Health Agency
- Moundsville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 PITTSBURGH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Home Health Agency
- Saint Clairsville, OH
- NPI 1720403561
O20050912000568
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Interim Healthcare of Bridgeport
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 12, 2006
- Medicare certification status
- Active
- 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel Maple | W-2 Managing Employee | Dec 14, 2024 | |
| Nicholas Reiser | 5% Or Greater Indirect Ownership Interest | Jan 20, 2020 | |
| Salo Inc | 5% Or Greater Direct Ownership Interest | Jun 26, 2015 | 100% |
| Christine D Oswald | 5% Or Greater Indirect Ownership Interest | Jun 26, 2015 | 8.56% |
| Corporate Officer | Jun 26, 2015 | 8.56% | |
| Corporate Director | Jun 26, 2015 | 8.56% | |
| Thomas Joseph Dimarco | 5% Or Greater Indirect Ownership Interest | Jun 26, 2015 | 75.78% |
| Corporate Officer | Jun 26, 2015 | 75.78% | |
| Corporate Director | Jun 26, 2015 | 75.78% | |
| Diane S Piccard | Corporate 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.
-
- Registered Nurse
- Bridgeport, WV
- NPI 1851193528
-
- Home Health Aide
- Bridgeport, WV
- NPI 1528809068
-
- Home Health Registered Nurse
- Bridgeport, WV
- NPI 1174329288
-
- Home Health Aide
- Bridgeport, WV
- NPI 1881414258
-
- Physical Therapist
- Cabot, PA
- NPI 1548385271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.