Organization Active NPI

Ihc of Mid Missouri, LLC

Doing business as Interim HealthCare

  • Home Health Agency
  • Columbia, MO
National Provider Identifier
1619410198
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IHC OF MID MISSOURI, LLC
Doing business as
Interim HealthCare
Practice address
303 N Stadium Blvd
2ND Floor
Columbia, MO 65203-1493
Phone
(573) 458-5330
Fax
(877) 240-6523
NPI assigned
Dec 1, 2016
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Gary Bodony
Title
Director of Operations
Phone
(573) 458-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

303 N Stadium Blvd
2ND Floor
Columbia, MO 65203-1493

Mailing address

13725 Metcalf Ave
Suite 411
Overland Park, KS 66223-7899
Phone (210) 213-0248

Other names 1

  • Interim HealthCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1619410198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 METCALF AVE",
            "address_2": "SUITE 411",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662237899",
            "telephone_number": "210-213-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N STADIUM BLVD",
            "address_2": "2ND FLOOR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031493",
            "telephone_number": "573-458-5330",
            "fax_number": "877-240-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC OF MID MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "BODONY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-458-5990"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.