Organization Active NPI

Interim Healthcare of the Triangle, LLC

  • Licensed Practical Nurse
  • Raleigh, NC
National Provider Identifier
1497871339
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
HC2075 Issued in NC
Legal business name
INTERIM HEALTHCARE OF THE TRIANGLE, LLC
Practice address
4325 Lake Boone TRL
Suite 102
Raleigh, NC 27607-7509
Phone
(919) 420-0336
Fax
(919) 420-0172
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Donna Lou Byrd
Title
Owner
Phone
(919) 420-0336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X HC2075 NC
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X HC2075 NC Primary

Addresses

Primary practice location

4325 Lake Boone TRL
Suite 102
Raleigh, NC 27607-7509

Mailing address

3710 University Dr
Suite 130
Durham, NC 27707-6203
Phone (919) 420-0336

Other identifiers 1

IdentifierTypeStateIssuer
7100424MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of the Triangle LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3710 University Dr
Ste 130
Durham, NC 27707
Phone (919) 493-7575

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497871339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 UNIVERSITY DR",
            "address_2": "SUITE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076203",
            "telephone_number": "919-420-0336",
            "fax_number": "919-420-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 LAKE BOONE TRL",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077509",
            "telephone_number": "919-420-0336",
            "fax_number": "919-420-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF THE TRIANGLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-420-0336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "HC2075",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "HC2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100424",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.