Organization Active NPI

Interim Healthcare Staffing Services Inc

  • Home Health Agency
  • Green Bay, WI
National Provider Identifier
1639387392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
266 Issued in WI
Legal business name
INTERIM HEALTHCARE STAFFING SERVICES INC
Practice address
2551 Continental CT
Ste 2
Green Bay, WI 54311-6090
Phone
(920) 494-9444
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen Patricia Schultz
Title
Ceoowner
Phone
(920) 494-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 266 WI Primary

Addresses

Primary practice location

2551 Continental CT
Ste 2
Green Bay, WI 54311-6090

Mailing address

2551 Continental CT
Ste 2
Green Bay, WI 54311-6090
Phone (920) 494-9444

Other identifiers 1

IdentifierTypeStateIssuer
41529300MedicaidWI

National Provider Directory

National Provider Directory

Locations

2551 Continental Ct
Ste 2
Green Bay, WI 54311
Phone (920) 494-9444

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639387392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 CONTINENTAL CT",
            "address_2": "STE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116090",
            "telephone_number": "920-494-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 CONTINENTAL CT",
            "address_2": "STE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116090",
            "telephone_number": "920-494-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE STAFFING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEOOWNER",
        "authorized_official_telephone_number": "920-494-9444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41529300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.