Interim Healthcare of Delaware LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

INTERIM HEALTHCARE OF DELAWARE LLC

Doing business as

Interim Healthcare of Delaware

Practice address

340 N High Street Extended
Smyrna, DE 19977-1183

Phone

(302) 322-2743

Fax

(302) 328-5086

NPI assigned

Dec 27, 2006

Last updated

May 29, 2025By 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

Mr. Nicholas Anthony Mannino Jr.NPI 1225802820

Title

President

Phone

(302) 322-2743

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Interim Healthcare of Delaware Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235294380. Details of each certification follow.

• CCN 087026 Home health agency · Active · Details

Home health agency certification: CCN 087026

Legal name

INTERIM HEALTHCARE OF DELAWARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 12, 1987

Last certification

Mar 27, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 14, 2010 in DE

Enrollment address

100 S Main St
Ste 203
Smyrna, DE 19977-1479
HHA Branch

Listed as

Interim Healthcare of Delaware LLCCCN 087026 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Aug 12, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Mannino

  • Home Modifications Contractor
  • New Castle, DE
  • NPI 1225802820
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1235294380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 READS WAY UNIT 108",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201631",
            "telephone_number": "302-322-2743",
            "fax_number": "302-328-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N HIGH STREET EXTENDED",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771183",
            "telephone_number": "302-322-2743",
            "fax_number": "302-328-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-322-2743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": "HHAS-029A",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054114",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Delaware",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Howard, FNP
• Meghan C Hudson, LPCMH
• Pearleta Hudson
• Icare Solutions Delaware LLC
• Chioma Ihebereme
• Interim Personal Care and Support LLC
• Patricia J Jacob, FNP
• Jalaja Serene Health LLC
• Opal James
• Amanda Jamieson, FNP

• Intellectual & Developmental Disabilities Psychologist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.