Organization Active NPI

Inspirium Ihc Upstate, LLC

Doing business as Interim Healthcare of the Upstate

  • Home Health Agency
  • Greenville, SC
National Provider Identifier
1750897609
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-0057 Issued in SC
Legal business name
INSPIRIUM IHC UPSTATE, LLC
Doing business as
Interim Healthcare of the Upstate
Practice address
100 Verdae Blvd Ste 300
Greenville, SC 29607-3841
Phone
(864) 627-1200
NPI assigned
Dec 14, 2017
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
David Maiorana
Title
Cfo
Phone
(864) 627-1200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-0057 SC Primary
Nursing Care Agency 251J00000X NU
Emergency Response System Companies 333300000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

100 Verdae Blvd Ste 300
Greenville, SC 29607-3841

Mailing address

100 Verdae Blvd Ste 300
Greenville, SC 29607-3841
Phone (864) 627-1200

Other names 1

  • Interim Healthcare of the Upstate Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180328002033 SC Part A Provider - Home Health Agency 0345501649 Practice locations: Columbia, SC; Greenville, SC
O20180814003300 SC Part A Provider - Hospice 0345501649 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Greenville, SC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1750897609. Details of each certification follow.

Home health agency certification: CCN 427015

Legal name
INSPIRIUM IHC UPSTATE, LLC
Doing business as
INTERIM HEALTHCARE OF THE UPSTATE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 1980
Last certification
Dec 6, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 2, 2017 in SC
Enrollment address
100 Verdae Blvd Ste 300
Greenville, SC 29607-3857

Hospice certification: CCN 421533

Legal name
INSPIRIUM IHC UPSTATE, LLC
Doing business as
INTERIM HEALTHCARE OF THE UPSTATE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 20, 1996
Last certification
Mar 12, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 2, 2017 in SC
Enrollment address
100 Verdae Blvd
Ste 300
Greenville, SC 29607-3857

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of the UpstateCCN 427015 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 13, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Interim Healthcare of the Upstate HospiceCCN 421533 · All quality measures
Ownership
For-Profit
Certified
Jun 20, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

100 Verdae Blvd
Ste 300
Greenville, SC 29607
Phone (864) 627-1200

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Otg Investments LLC Organization, Simpsonville, SC Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022 20%
Childress Ihc LLC Organization, Greenville, SC Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022 20%
Janice McCrary Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2017 10%
Patricia M McGillan Individual OtherAssoc General Counsel & Compliance Jan 1, 2026
Corporate DirectorAssociate General Counsel & Complia Jan 1, 2026
John Floyd Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2017 29.8%
Inspirium Health LLC Organization, Greenville, SC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Floyd Ihc LLC Organization, Spartanburg, SC Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022 20%
Michael McBride Individual General Partnership InterestBoard Member Aug 2, 2018 0.4%
Capsouth Family Partners LLC Organization, Greenville, SC Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022 20%
Brandi Ariail Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 10%
Inspirium Ihc LLC Organization, Greenville, SC LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Grey Hawk Properties LP Organization, Greenville, SC Created for acquisition 5% Or Greater Indirect Ownership Interest Jan 1, 2022 20%
Christopher Lupo Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2017 10%
South State Bank Organization, Winter Haven, FL Financial institution 5% Or Greater Security Interest May 4, 2023
Paul Thomas Shaw Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2017 20%
David J. Maiorana Individual Corporate OfficerChief Financial Officer Dec 1, 2020
W-2 Managing Employee Dec 1, 2020
W-2 Managing EmployeeChief Financial Officer Jul 23, 2018
Inspirium Management Services LLC Organization, Greenville, SC LLC, For-profit Operational/Managerial Control Jan 1, 2022 100%
Janet Turner Individual OtherAvp of Hospice Aug 11, 2022
Centerstate Bank N.a. Organization, Winter Haven, FL Financial institution 5% Or Greater Security Interest Oct 25, 2018 100%
Laurie Marie Theriot Roley Individual Contracted Managing EmployeeHospice Medical Director Jan 5, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the buyer Interim HealthcareCCN 427015, SC, NPI 1235181801

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 650

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 650

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1750897609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VERDAE BLVD STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073841",
            "telephone_number": "864-627-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VERDAE BLVD STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073841",
            "telephone_number": "864-627-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRIUM IHC UPSTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MAIORANA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-627-1200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-0057",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of the Upstate",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of the Upstate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.