NPIMap

Organization Active NPI

Interim Healthcare of SE Ohio Inc

Doing business as Interim Healthcare of Marietta

  • Home Health Agency
  • Woodsfield, OH
National Provider Identifier
1548302003
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM HEALTHCARE OF SE OHIO INC
Doing business as
Interim Healthcare of Marietta
Practice address
107 W Court St
Woodsfield, OH 43793-1018
Phone
(740) 472-9000
Fax
(740) 472-9002
NPI assigned
Feb 13, 2007
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Thomas J Dimarco
Title
Chief Executive Officer
Phone
(614) 436-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

107 W Court St
Woodsfield, OH 43793-1018

Mailing address

300 W Wilson Bridge Rd Ste 250
Worthington, OH 43085-2289
Phone (614) 436-9404

Other names 1

  • INTERIM HEALTHCARE OF MARIETTA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000127 OH Part A Provider - Home Health Agency 7315996089 Practice locations: Woodsfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548302003. Details of each certification follow.

Home health agency certification: CCN 368066

Legal name
INTERIM HEALTHCARE OF SE OHIO INC
Doing business as
INTERIM HEALTHCARE OF MARIETTA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 2004
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
107 W Court St
Woodsfield, OH 43793-1018

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 MariettaCCN 368066 · All quality measures
Ownership
Proprietary
Certified
Sep 2, 2004
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 Bridgeport4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

252 W Main St
St Clairsvle, OH 43950

107 W Court St
Woodsfield, OH 43793
Phone (740) 635-0045

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Rachel Maple Individual W-2 Managing EmployeeAd; Dec 14, 2024
Nicholas Reiser Individual Corporate OfficerChief Operating Officer Jan 20, 2020
Corporate DirectorDirector Jan 20, 2020
Salo Inc Organization, Worthington, OH Corporation, Management services company, Holding company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jun 26, 2015 100%
Christine D Oswald Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2015 8.56%
Corporate OfficerPresident & Chief Financial Officer Jun 26, 2015 8.56%
Corporate DirectorBoard Member Jun 26, 2015 8.56%
Thomas Joseph Dimarco Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2015 75.78%
Corporate OfficerCeo Jun 26, 2015 75.78%
Corporate DirectorBoard Member Jun 26, 2015 75.78%
Diane S Piccard Individual Corporate OfficerChief Clinical Officer Jun 26, 2015

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1548302003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WILSON BRIDGE RD STE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852289",
            "telephone_number": "614-436-9404",
            "fax_number": "614-436-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W COURT ST",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437931018",
            "telephone_number": "740-472-9000",
            "fax_number": "740-472-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SE OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-436-9404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERIM HEALTHCARE OF MARIETTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodsfield, OH

Sources for this page

Verify at the official NPI Registry.