NPIMap

Organization Active NPI

Interim Healthcare of Northern California

Doing business as Interim HealthCare Hospice

  • Community Based Hospice Care Agency
  • Redding, CA
National Provider Identifier
1336296516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INTERIM HEALTHCARE OF NORTHERN CALIFORNIA
Doing business as
Interim HealthCare Hospice
Practice address
970 Executive Way
Redding, CA 96002-0630
Phone
(530) 221-1212
NPI assigned
Jan 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Cindy Seawright, RN
Title
VP / Owner
Phone
(530) 221-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

970 Executive Way
Redding, CA 96002-0630

Mailing address

2608 Victor Ave
Suite C
Redding, CA 96002-1447
Phone (530) 221-1212

Other identifiers 1

IdentifierTypeStateIssuer
HPC01796FMedicaidCA

Other names 1

  • Interim HealthCare Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000458 CA Part A Provider - Hospice 1759395866 Practice locations: Redding, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336296516. Details of each certification follow.

Hospice certification: CCN 051796

Legal name
INTERIM HEALTHCARE OF NORTHERN CALIFORNIA
Doing business as
INTERIM HEALTHCARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 6, 2006
Last certification
Jan 11, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 12, 1995 in CA
Enrollment address
970 Executive Way
Redding, CA 96002-0630

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: Hospice

Medicare Care Compare
Listed as
Interim Healthcare HospiceCCN 051796 · All quality measures
Ownership
For-Profit
Certified
Oct 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file

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.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Renee a Rand Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2006 33.3%
Corporate OfficerVice President & Treasurer Jan 1, 2006 33.3%
Robert L Seawright Individual 5% Or Greater Direct Ownership InterestOwner Sep 12, 1995 33.3%
Corporate OfficerPresident & Ceo Sep 12, 1995 33.5%
Operational/Managerial ControlPresident & Ceo Sep 12, 1995 33.5%
Cindy a Seawright Individual 5% Or Greater Direct Ownership InterestOwner Aug 17, 2007 33.3%
Corporate OfficerVice President/Secretary Apr 1, 2004 33.3%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336296516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 VICTOR AVE",
            "address_2": "SUITE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021447",
            "telephone_number": "530-221-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020630",
            "telephone_number": "530-221-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEAWRIGHT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VP / OWNER",
        "authorized_official_telephone_number": "530-221-1212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01796F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.