NPIMap

Organization Active NPI

Interim Healthcare of Kansas City, Inc

  • Home Health Agency
  • Overland Park, KS
National Provider Identifier
1316934086
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A046001 Issued in KS
Legal business name
INTERIM HEALTHCARE OF KANSAS CITY, INC
Practice address
10977 Granada LN
Suite 205
Overland Park, KS 66211-1468
Phone
(913) 381-3100
Fax
(913) 381-3181
NPI assigned
Sep 28, 2005
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Charles Lee Grewell
Title
General Manager
Phone
(913) 381-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 28813 MO
Home Health Agency 251E00000X A046001 KS Primary

Addresses

Primary practice location

10977 Granada LN
Suite 205
Overland Park, KS 66211-1468

Mailing address

10977 Granada LN
Suite 205
Overland Park, KS 66211-1468
Phone (913) 381-3100

Other identifiers 4

IdentifierTypeStateIssuer
267947000MedicaidMO
941714206MedicaidMO
100113890AMedicaidKS
100113890BMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060803000410 KS Part A Provider - Home Health Agency 2769391820 Practice locations: Independence, MO; Overland Park, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316934086. Details of each certification follow.

Home health agency certification: CCN 177087

Legal name
INTERIM HEALTHCARE OF KANSAS CITY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 8, 1981
Last certification
Oct 5, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 2, 1975 in MO
Enrollment address
10977 Granada LN
Ste 205
Overland Park, KS 66211-1433

Other NPIs with the same Medicare PAC ID 2

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 Healthcare of Kansas CityCCN 177087 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 8, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Interim Health Care5 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.

Ownership & related parties

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.

NameRoleSinceShare
Jerry M. Hess Individual 5% Or Greater Direct Ownership Interest Jun 2, 1975 50%
Corporate OfficerPresident Jun 2, 1975 50%
Corporate DirectorBoard Member Jun 2, 1975
Patricia Clayborn Individual W-2 Managing EmployeeAd; May 7, 2026 100%
Operational/Managerial ControlAdministrator May 7, 2026 100%
Donna M. Hess Individual 5% Or Greater Direct Ownership Interest Jun 2, 1975 50%
Corporate OfficerVice President Jun 2, 1975
Corporate DirectorBoard Member Jun 2, 1975 50%
Charles L. Grewell Individual W-2 Managing EmployeeGeneral Manager Jan 1, 2000 100%
Operational/Managerial ControlGeneral Manager Jan 1, 2000 100%

Practitioners & affiliated clinicians

Affiliated clinicians 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1316934086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-381-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-381-3100",
            "fax_number": "913-381-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF KANSAS CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GREWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "913-381-3100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "28813",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A046001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267947000",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941714206",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113890A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113890B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.