Interim Healthcare of Kansas City, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INTERIM HEALTHCARE OF KANSAS CITY, INC.

Practice address

3131 S State Route 291 Ste C
Independence, MO 64057-2645

Phone

(816) 420-0533

Fax

(816) 420-0494

NPI assigned

Jun 4, 2013

Organization subpart

Yes

Parent organization

INTERIM HEALTHCARE OF KANSAS CITYAs reported in NPPES

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

Authorized official

Name

Charles Lee Grewell

Title

General Manager

Phone

(913) 381-3100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Interim HealthCare of Kansas City Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Hospice certification: CCN 261653

Legal name

INTERIM HEALTHCARE OF KANSAS CITY, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 6, 2014

Last certification

Jul 14, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Jun 2, 1975 in MO

Enrollment address

3131 S State Route 291
Ste C
Independence, MO 64057-2645

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Interim Healthcare of Kansas City, Inc

  • Community Based Hospice Care Agency
  • Overland Park, KS
  • NPI 1073850111

  2769391820

  Same PAC ID
• Interim Healthcare of Kansas City, Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1316934086

  2769391820

  Same PAC ID

Listed as

Interim Healthcare of Kansas CityCCN 261653

Ownership

For-Profit

Certified

Mar 6, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Interim Health Care5 organizations share this tax ID, including this one

Part of

Interim Health Care

Other organizations with this tax ID 4

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

• Interim Healthcare of Kansas City, Inc

  • Community Based Hospice Care Agency
  • Overland Park, KS
  • NPI 1073850111
  NPD tax ID
• Interim Healthcare of Kansas City, Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1316934086
  NPD tax ID
• Interim Healthcare of Kansas City, Inc.

  • Home Health Agency
  • Overland Park, KS
  • NPI 1366642886
  NPD tax ID
• Interim Healthcare of KC, Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1417169384
  NPD tax ID

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1679910376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-381-3100",
            "fax_number": "913-642-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S STATE ROUTE 291 STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572645",
            "telephone_number": "816-420-0533",
            "fax_number": "816-420-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF KANSAS CITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF KANSAS CITY",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GREWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "913-381-3100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "26-1653",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Independence, MO
• Providers in Independence, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.