NPIMap

Interim Healthcare of Pittsburgh, Inc.

Organization Active NPI In Home Supportive Care Agency · Morgantown, WV

NPI 1669070595 · NPPES record last updated Aug 16, 2024

Key facts

NPI
1669070595
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
INTERIM HEALTHCARE OF PITTSBURGH, INC.
Practice address
1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737
Phone
(304) 598-8900
NPI assigned
Oct 13, 2020
Organization subpart
No

Authorized official

Name
Thomas J Dimarco
Title
Chief Executive Officer
Phone
(614) 436-9404

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Interim Healthcare of Pittsburgh (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737

Mailing address

1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737
Phone (304) 598-8900

Other identifiers

IdentifierTypeStateIssuer
000460900MedicaidWV
517098OtherMEDICARE

Other names

  • Interim Healthcare of Morgantown Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2024.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1669070595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 VAN VOORHIS RD STE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052737",
            "telephone_number": "304-598-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 VAN VOORHIS RD STE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052737",
            "telephone_number": "304-598-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF PITTSBURGH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000460900",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "517098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Morgantown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Morgantown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

All providers in Morgantown, WV · In Home Supportive Care Agency in West Virginia

Sources for this page

Verify at the official NPI Registry.