NPIMap

Organization Active NPI

Interim Health Care of Wichita Inc

Doing business as Interim Health Care

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1548264229
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-087-003 Issued in KS
Legal business name
INTERIM HEALTH CARE OF WICHITA INC
Doing business as
Interim Health Care
Practice address
9920 E Harry St
Wichita, KS 67207-5008
Phone
(316) 265-4295
Fax
(316) 265-4399
NPI assigned
Jun 9, 2005
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Jay Morrow Stehley
Title
President
Phone
(316) 265-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-087-003 KS Primary

Addresses

Primary practice location

9920 E Harry St
Wichita, KS 67207-5008

Mailing address

9920 E Harry St
Wichita, KS 67207-5008
Phone (316) 265-4295

Other identifiers 1

IdentifierTypeStateIssuer
3000392101MedicaidKS

Other names 1

  • Interim Health Care Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jstehley@interimhealthcare.com
Direct Messaging Address jstehley@interimhealthcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123000430 KS Part A Provider - Home Health Agency 3870401995 Practice locations: El Dorado, KS; Hutchinson, KS; Pratt, KS; Salina, KS; Wellington, KS; Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548264229. Details of each certification follow.

Home health agency certification: CCN 177090

Legal name
INTERIM HEALTH CARE OF WICHITA INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 1981
Last certification
Apr 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 4, 1979 in KS
Enrollment address
9920 E Harry St
Wichita, KS 67207-5008
HHA Branch

Other NPIs with the same Medicare PAC ID 2

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 WichitaCCN 177090 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 23, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Interim Health Care3 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

121 W Central Ave
El Dorado, KS 67042
Phone (316) 600-5190

525 S Main St
Hutchinson, KS 67501

318 S Main St
Pratt, KS 67124
Phone (620) 672-6168

415 E Iron Ave
Salina, KS 67401

105 S Washington Ave
Wellington, KS 67152

9920 E Harry St
Wichita, KS 67207
Phone (316) 265-4295

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jay Morrow Stehley Individual 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Corporate OfficerPresident, Ceo, Board Member, SE Jul 1, 2004
Corporate DirectorPresident, Ceo, Board Member, S Feb 12, 2004 70%
W-2 Managing EmployeeCeo President, Board Member, Sec Apr 1, 2004
Operational/Managerial ControlPresident, Ceo, Board Member, SE Aug 31, 2020

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ascension Living Via Christi Village RidgeWichita, KS, CCN 175539 Skilled nursing facility Adp of the SNF Mar 8, 2023
Ascension Living Via Christi Village McLeanWichita, KS, CCN 175543 Skilled nursing facility Adp of the SNF Nov 14, 2024

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.

Affiliated clinicians 83

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1548264229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-265-4295",
            "fax_number": "316-265-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-265-4295",
            "fax_number": "316-265-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTH CARE OF WICHITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "STEHLEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MORROW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-265-4295"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-087-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000392101",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstehley@interimhealthcare.com",
            "affiliation": "N",
            "address_1": "9920 E Harry St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672075008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstehley@interimhealthcare.com",
            "affiliation": "N",
            "address_1": "9920 E Harry St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672075008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.