Active NPI
Interim Healthcare of Spokane, Inc.
- Home Health Agency
- Spokane, WA
National Provider Identifier
1154459923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IS-345
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9038282 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.