Intermed Home Care Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

044-R-0427 Issued in GA

Legal business name

INTERMED HOME CARE INCORPORATED

Practice address

1580 Warsaw Rd
Roswell, GA 30076-1532

Phone

(770) 455-3817

Fax

(770) 455-3828

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Olga Botezat

Title

President

Phone

(770) 722-3565

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• InterMed Homecare Doing business as

Locations

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619203395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 767547",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-455-3817",
            "fax_number": "770-455-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 WARSAW RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761532",
            "telephone_number": "770-455-3817",
            "fax_number": "770-455-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED HOME CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOTEZAT",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-722-3565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-0427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028698723A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028698723B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterMed Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Roswell, GA
• Providers in Roswell, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.