Interim Healthcare of Pittsburgh, Inc.
Organization Active NPI Home Health Agency · Erie, PA
NPI 1144277161 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1144277161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- INTERIM HEALTHCARE OF PITTSBURGH, INC.
- Practice address
- 2206 W 15TH St
Erie, PA 16505-4510 - Phone
- (814) 836-8836
- Fax
- (814) 835-8175
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas J Dimarco
- Title
- Chief Executive Officer
- Phone
- (614) 436-9404
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 17
Facilities with the same owner 24
Affiliated clinicians 21
-
Martin Joseph Decker, D.O.
-
Ryan Scott Evans, D.O.
-
Brian K Lang, DO
-
Frank Joseph McLaughlin, D.O.
-
Kaelyn R Mitchell, CRNP
-
Marianne J. Suprys, M.D.
-
Stephanie M Traud, D.O.
-
Linda L Young, M.D.
-
Mark L Stabile Jr., D.O.
Medicare Care Compare: Home health agency
- Listed as
- Interim Healthcare of Erie
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 28, 2000
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 397736
- Legal name
- INTERIM HEALTHCARE OF PITTSBURGH, INC.
- Doing business as
- INTERIM HEALTHCARE OF ERIE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 28, 2000
- Last certification
- Aug 14, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 20, 1971 in PA
- Enrollment address
- 2206W 15TH St
Erie, PA 16505-4510
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Nicholas Reiser |
Corporate Officer |
Feb 1, 2020 | |
| W-2 Managing Employee |
Feb 1, 2020 | ||
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Salo Inc |
5% Or Greater Direct Ownership Interest | Nov 14, 2009 | 100% |
| Christine D Oswald |
5% Or Greater Indirect Ownership Interest |
Apr 16, 2004 | 8.56% |
| Corporate Officer |
Nov 7, 2004 | ||
| Corporate Director |
Nov 7, 2004 | ||
| Thomas Joseph Dimarco |
5% Or Greater Indirect Ownership Interest |
Nov 7, 2004 | 75.78% |
| Corporate Officer |
Mar 6, 1987 | ||
| Corporate Director |
May 5, 1988 | ||
| Heather a McLaughlin |
W-2 Managing Employee |
Jul 15, 2020 | |
| Operational/Managerial Control |
Jul 15, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030131000036 | PA | Part a Provider - Home Health Agency | 8325956675 |
1 other NPI on this enrollment Practice locations: Erie, PA; Meadville, PA |
National Provider Directory
- Tax ID family
- Interim Healthcare of Pittsburgh
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PA | Yes | |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2206 W 15TH St
Erie, PA 16505-4510
Mailing address
2206 W 15TH St
Erie, PA 16505-4510
Phone (814) 836-8836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829947 | Medicaid | PA |
Other names
- Interim HealthCare of Erie
Other providers in Erie, PA
- Insight Therapies LLC
- Institute on Healthcare Directives
- Integrated Vision Care LLC
- Integrative Therapies Millcreek, LLC
- Interim Healthcare Hospice of Western Pennsylvania Inc
- Interim Healthcare of Pittsburgh, Inc.
- Internal Medicine Associates of Northwestern PA PC
- Peter Intrieri
- Inventive Nutrition LLC
- Irene T Blackford PHD LLC
All providers in Erie, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.