NPIMap

Organization Active NPI

Interim Healthcare of Southeastern Colorado Inc.

Doing business as Interim HealthCare

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1447227962
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO INC.
Doing business as
Interim HealthCare
Practice address
1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283
Phone
(719) 632-9900
Fax
(719) 632-2470
NPI assigned
Mar 2, 2006
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Mr. Devin J. Ringling
Title
Ceo
Phone
(719) 632-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X 040510 CO

Addresses

Primary practice location

1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283

Mailing address

1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283
Phone (719) 632-9900

Other identifiers 2

IdentifierTypeStateIssuer
9000130908MedicaidCO
05017215MedicaidCO

Other names 1

  • Interim HealthCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711001879 CO Part A Provider - Home Health Agency 0648455683 Practice locations: Colorado Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447227962. Details of each certification follow.

Home health agency certification: CCN 067080

Legal name
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC
Doing business as
INTERIM HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 18, 1982
Last certification
Dec 12, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1976 in CO
Enrollment address
1901 N Union Blvd
Ste 202
Colorado Springs, CO 80909-7207

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 Healthcare of Southeastern Colorado IncCCN 067080 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 18, 1982
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 Healthcare of Southeastern Colorado Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1901 N Union Blvd
Colorado Springs, CO 80909
Phone (719) 357-5277

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
Devin Jay Ringling Individual 5% Or Greater Direct Ownership Interest Apr 1, 2003 50%
Corporate OfficerCeo Jan 5, 2010
Corporate DirectorCeo Apr 5, 2004
Cynthia Jane Ringling Individual 5% Or Greater Direct Ownership Interest Apr 1, 2003 50%
Corporate OfficerChief Clinical Officer Jan 5, 2010
Corporate DirectorChief Clinical Officer Jan 5, 2010
Danielle M Weidner Individual W-2 Managing EmployeeAdministrator Dec 29, 2007

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Interim HealthcareFort Collins, CO, CCN 067253 Home health agency Operational/Managerial Control (25%) Jan 1, 1995
Interim HealthcareTucson, AZ, CCN 037016 Home health agency Operational/Managerial Control (50%) Sep 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1447227962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092283",
            "telephone_number": "719-632-9900",
            "fax_number": "719-632-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092283",
            "telephone_number": "719-632-9900",
            "fax_number": "719-632-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "RINGLING",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-632-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "040510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000130908",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05017215",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.