NPIMap

Organization Active NPI

Interim Healthcare of Northern California

  • Home Health Agency
  • Redding, CA
National Provider Identifier
1245336056
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
230000258 Issued in CA
Legal business name
INTERIM HEALTHCARE OF NORTHERN CALIFORNIA
Practice address
1647 Court St
Redding, CA 96001-1737
Phone
(530) 221-1212
Fax
(530) 221-7836
NPI assigned
Sep 16, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Mrs. Cindy Adine Seawright, RN
Title
Director of Healthcare
Phone
(530) 221-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 230000258 CA Primary

Addresses

Primary practice location

1647 Court St
Redding, CA 96001-1737

Mailing address

970 Executive Way
Redding, CA 96002-0630
Phone (530) 221-1212

Other identifiers 1

IdentifierTypeStateIssuer
HHA57630FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000696 CA Part A Provider - Home Health Agency 1759395866 Practice locations: Redding, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245336056. Details of each certification follow.

Home health agency certification: CCN 557630

Legal name
INTERIM HEALTHCARE OF NORTHERN CALIFORNIA
Doing business as
INTERIM HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 1995
Last certification
Jun 13, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1995 in CA
Enrollment address
1647 Court St
Redding, CA 96001-1737

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim HealthcareCCN 557630 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 29, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0909750Interim Healthcare1647 Court St, Redding, CA 96001Certificate of waiverJul 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Interim Assisted Care of Northern California Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2060 Talbert Dr
#160
Chico, CA 95928
Phone (530) 899-9777

2060 Talbert Dr
Ste 100
Chico, CA 95928
Phone (530) 899-9777

1647 Court St
Redding, CA 96001
Phone (530) 221-1212

2154 Hilltop Dr
Redding, CA 96002
Phone (530) 221-1212

970 Executive Way
Redding, CA 96002
Phone (530) 221-1212

3553 Arrowhead Dr
Ste 103
Medford, OR 97504

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Bhanuprakash Padala Individual 5% Or Greater Indirect Ownership Interest May 27, 2023 100%
Corporate OfficerPresident/Ceo May 27, 2023
Corporate DirectorBoard Member May 27, 2023
Operational/Managerial Control May 27, 2023
Sap Home Care Services Organization, Rancho Santa Margarita, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest May 27, 2023 100%
Operational/Managerial Control May 27, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1245336056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020630",
            "telephone_number": "530-221-1212",
            "fax_number": "530-221-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011737",
            "telephone_number": "530-221-1212",
            "fax_number": "530-221-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "SEAWRIGHT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ADINE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTHCARE",
        "authorized_official_telephone_number": "530-221-1212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "230000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57630F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.