Interim Healthcare of Pittsburgh, Inc.
Organization Active NPI Home Health Agency · State College, PA
NPI 1548839723 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1548839723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- INTERIM HEALTHCARE OF PITTSBURGH, INC.
- Practice address
- 2766 W College Ave Ste 300
State College, PA 16801-2647 - Phone
- (814) 287-9412
- Fax
- (814) 954-5286
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Thomas J Dimarco
- Title
- Chief Executive Officer
- Phone
- (614) 436-9404
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 17
Affiliated clinicians 1
Medicare Care Compare: Home health agency
- Listed as
- Interim Healthcare of Johnstown
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Mar 13, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 397311
- Legal name
- INTERIM HEALTHCARE OF PITTSBURGH, INC.
- Doing business as
- INTERIM HEALTHCARE OF JOHNSTOWN
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 13, 2003
- Last certification
- Aug 3, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 20, 1971 in PA
- Enrollment address
- 322 Warren St
Ste 220
Johnstown, PA 15905-3443
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin S Murphy |
W-2 Managing Employee |
Sep 30, 2024 | |
| Operational/Managerial Control |
Sep 30, 2024 | ||
| Salo Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 1984 | 100% |
| Jason Merkle |
Corporate Director |
Nov 14, 2025 | |
| Operational/Managerial Control |
Mar 11, 2024 | ||
| Christine D Oswald |
5% Or Greater Indirect Ownership Interest |
Apr 16, 2004 | 13.5% |
| Corporate Officer |
Nov 7, 2004 | ||
| Corporate Director |
Nov 7, 2004 | ||
| Thomas Joseph Dimarco |
5% Or Greater Indirect Ownership Interest |
Nov 7, 2004 | 71.19% |
| Corporate Officer |
Mar 6, 1987 | ||
| Corporate Director |
May 5, 1988 | ||
| Diane S Piccard |
Corporate Officer |
Jul 19, 2016 | |
| Sara F Waszo |
W-2 Managing Employee |
Dec 18, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061229000343 | PA | Part a Provider - Home Health Agency | 8325956675 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Duncansville, PA; Johnstown, PA; State College, PA |
National Provider Directory
- Tax ID family
- Interim Healthcare of Pittsburgh
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2766 W College Ave Ste 300
State College, PA 16801-2647
Mailing address
300 W Wilson Bridge Rd Ste 250
Worthington, OH 43085-2289
Phone (614) 436-9404
Other names
- Interim HealthCare of State College
NPI Registry JSON
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1548839723",
"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": "2766 W COLLEGE AVE STE 300",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168012647",
"telephone_number": "814-287-9412",
"fax_number": "814-954-5286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERIM HEALTHCARE OF PITTSBURGH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"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
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim HealthCare of State College",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Interim HealthCare of State College",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in State College, PA
- Sylvia M Immel
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- Integrative Health Care Associates
- Aysel Iranparvar
- Robert Ellis Irwin
- Matthew Ishler
- Faoud Ishmael
- Harvey Steven Israel
All providers in State College, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.