Active NPI
Interim Healthcare
Doing business as Interim HealthCare Services Inc
- Home Health Agency
- New Boston, OH
National Provider Identifier
1407931579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTERIM HEALTHCARE
- Doing business as
- Interim HealthCare Services Inc
- Practice address
- 4130 Gallia St
New Boston, OH 45662-5511 - Phone
- (740) 354-5550
- Fax
- (740) 354-5670
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Conklin
- Title
- President
- Phone
- (740) 354-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4130 Gallia St
New Boston, OH 45662-5511
Mailing address
4130 Gallia St
New Boston, OH 45662-5511
Phone (740) 354-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0996356 | Medicaid | OH |
Other names 1
- Interim HealthCare Services Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101118001107 | OH | Part A Provider - Home Health Agency | 9335335132 | Practice locations: New Boston, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407931579. Details of each certification follow.
Home health agency certification: CCN 367590
- Legal name
- INTERIM HEALTHCARE SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 10, 1994
- Last certification
- Jun 3, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 4130 Gallia St
New Boston, OH 45662-5511
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Interim Healthcare
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 10, 1994
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Interim Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- New Boston, OH
- NPI 1629863642
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edwin Bruce Lowman | 5% Or Greater Direct Ownership Interest | Jan 1, 1999 | 60% |
| Melissa Maple-Williams | W-2 Managing Employee | Dec 26, 1996 | 100% |
| Donna Southworth | 5% Or Greater Direct Ownership Interest | Jan 1, 1999 | 20% |
| Corporate Director | Jan 1, 1999 | 100% | |
| Kelli Conklin | W-2 Managing Employee | Jan 14, 1995 | 100% |
| Lydia Linkous | W-2 Managing Employee | Aug 28, 2021 | 100% |
| Michael Delaney | 5% Or Greater Direct Ownership Interest | Jan 1, 1999 | 20% |
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Wheelersburg, OH
- NPI 1750305538
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776556800000",
"number": "1407931579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 GALLIA ST",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456625511",
"telephone_number": "740-354-5550",
"fax_number": "740-354-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 GALLIA ST",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456625511",
"telephone_number": "740-354-5550",
"fax_number": "740-354-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERIM HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A",
"authorized_official_last_name": "CONKLIN",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-354-5550"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0996356",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim HealthCare Services Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Boston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; 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.