NPIMap

Organization Active NPI

Interim Healthcare of KC, Inc

  • Home Health Agency
  • Overland Park, KS
National Provider Identifier
1417169384
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A046060 Issued in KS
Legal business name
INTERIM HEALTHCARE OF KC, INC
Practice address
10977 Granada LN
Suite# 205
Overland Park, KS 66211-1468
Phone
(913) 381-3100
Fax
(913) 642-5683
NPI assigned
May 4, 2007
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A046060 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

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
17D0861238Interim Healthcare of KC Inc10977 Granada Lane Suite 205, Overland Park, KS 66211Certificate of waiverAug 31, 2026

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.

Locations

10977 Granada Ln
Ste 205
Overland Park, KS 66211
Phone (913) 381-3100

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1417169384",
    "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",
            "fax_number": "913-642-5683"
        },
        {
            "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": "913-642-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF KC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-05-08",
        "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": "KS",
            "license": "A046060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.