Organization Active NPI

Interim Healthcare of Spokane, Inc.

  • Home Health Agency
  • Spokane, WA
National Provider Identifier
1154459923
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-345 Issued in WA
Legal business name
INTERIM HEALTHCARE OF SPOKANE, INC.
Practice address
1625 W 4TH Ave
Spokane, WA 99204-1720
Phone
(509) 456-5665
Fax
(509) 456-7703
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Mr. Richard W Morris, RN
Title
Ceo and President
Phone
(509) 456-5665

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-345 WA Primary
Home Health Agency 251E00000X HH-145 ID
Nursing Care Agency 251J00000X IS-345 WA
Nursing Care Agency 251J00000X HH-145 ID
In Home Supportive Care Agency 253Z00000X IHS.FS.00000345 WA

Addresses

Primary practice location

1625 W 4TH Ave
Spokane, WA 99204-1720

Mailing address

1625 W 4TH Ave
Spokane, WA 99204-1720
Phone (509) 456-5665

Other practice location 1

1625 W 4th Ave
Spokane, WA 99204-1720
Phone (509) 456-5665 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
9038282MedicaidWA

National Provider Directory

National Provider Directory

Locations

1625 W 4th Ave
Spokane, WA 99201
Phone (509) 624-5855

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1154459923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992041720",
            "telephone_number": "509-456-5665",
            "fax_number": "509-456-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992041720",
            "telephone_number": "509-456-5665",
            "fax_number": "509-456-7703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992041720",
            "country_code": "US",
            "telephone_number": "509-456-5665 x101",
            "fax_number": "509-456-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SPOKANE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "509-456-5665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-345",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-145",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "IS-345",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ID",
            "license": "HH-145",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038282",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.