Interim Healthcare of Fort Collins, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04A418 Issued in CA

Legal business name

INTERIM HEALTHCARE OF FORT COLLINS, INC.

Practice address

1770 25TH Ave Ste 100
Greeley, CO 80634-4948

Phone

(970) 472-4180

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Devin Ringling

Title

Ceo

Phone

(719) 632-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Interim Healthcare of Greeley Doing business as

Locations

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154846236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 25TH AVE STE 100",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344948",
            "telephone_number": "970-472-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 25TH AVE STE 100",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344948",
            "telephone_number": "970-472-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF FORT COLLINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RINGLING",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-632-9900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "04A418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "04A418",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Greeley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Greeley, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.