Active NPI
Ihc of Mid Missouri, LLC
Doing business as Interim HealthCare
- Home Health Agency
- Columbia, MO
National Provider Identifier
1619410198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.