NPIMap

Organization Active NPI

Interim Healthcare of the Triad, Inc.

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1124235270
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1886 Issued in NC
Legal business name
INTERIM HEALTHCARE OF THE TRIAD, INC.
Practice address
1310 Ashley SQ
Ashley Square
Winston Salem, NC 27103-2919
Phone
(336) 768-6997
Fax
(336) 768-7122
NPI assigned
May 17, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF THE TRIAD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Terri Pilkington
Title
Cfo
Phone
(252) 243-7808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1886 NC Primary

Addresses

Primary practice location

1310 Ashley SQ
Ashley Square
Winston Salem, NC 27103-2919

Mailing address

2526 Ward Blvd
Wilson, NC 27893-1600
Phone (252) 243-7808

Other identifiers 1

IdentifierTypeStateIssuer
7100384MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of the Triad22 organizations share this tax ID, including this one
Part of
Interim Healthcare of the Triad

Other organizations with this tax ID 21

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

View all 21

Locations

1310 Ashley Sq
Winston Salem, NC 27103
Phone (336) 768-6997

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1124235270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931600",
            "telephone_number": "252-243-7808",
            "fax_number": "252-243-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ASHLEY SQ",
            "address_2": "ASHLEY SQUARE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032919",
            "telephone_number": "336-768-6997",
            "fax_number": "336-768-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF THE TRIAD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF THE TRIAD, INC.",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PILKINGTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-243-7808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.