Interim Healthcare Gulf Coast, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20585095 Issued in FL

Legal business name

INTERIM HEALTHCARE GULF COAST, INC.

Practice address

1940 Drew St
Suite a
Clearwater, FL 33765-3000

Phone

(727) 441-9585

Fax

(727) 461-4535

NPI assigned

Jul 4, 2006

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Spellissy

Title

Cfo/Administrator

Phone

(727) 441-9585

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1164452041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 DREW ST",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653000",
            "telephone_number": "727-441-9585",
            "fax_number": "727-461-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 DREW ST",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653000",
            "telephone_number": "727-441-9585",
            "fax_number": "727-461-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE GULF COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SPELLISSY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-441-9585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20585095",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650924000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.