NPIMap

Organization Active NPI

Interim Healthcare of Treasure Coast, Inc.

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1457090144
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM HEALTHCARE OF TREASURE COAST, INC.
Practice address
6905 LTC Pkwy
Port Saint Lucie, FL 34986-3947
Phone
(772) 410-5624
Fax
(561) 616-9909
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Sherry Lynn McGoldrick
Title
Manager Private Duty Operations
Phone
(561) 616-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6905 LTC Pkwy
Port Saint Lucie, FL 34986-3947

Mailing address

2 Harvard Cir Ste 950
West Palm Beach, FL 33409-1994
Phone (561) 616-9500

Other names 1

  • Interim Healthcare of St. Lucie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Palm Beach3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6905 Ltc Pkwy
Port St Lucie, FL 34986
Phone (772) 410-5624

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1457090144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HARVARD CIR STE 950",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091994",
            "telephone_number": "561-616-9500",
            "fax_number": "561-616-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 LTC PKWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863947",
            "telephone_number": "772-410-5624",
            "fax_number": "561-616-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF TREASURE COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MCGOLDRICK",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER PRIVATE DUTY OPERATIONS",
        "authorized_official_telephone_number": "561-616-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of St. Lucie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.