Organization Active NPI

Interim Healthcare of Riverside, Inc.

  • Home Health Agency
  • Apple Valley, CA
National Provider Identifier
1821112681
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CA250000187 Issued in CA
Legal business name
INTERIM HEALTHCARE OF RIVERSIDE, INC.
Practice address
16085 Tuscola Rd
Suite 6
Apple Valley, CA 92307-1358
Phone
(760) 242-0075
Fax
(760) 242-7077
NPI assigned
Mar 19, 2007
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF RIVERSIDE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Michael Slupecki
Title
Cfo
Phone
(954) 858-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA250000187 CA Primary

Addresses

Primary practice location

16085 Tuscola Rd
Suite 6
Apple Valley, CA 92307-1358

Mailing address

1601 Sawgrass Corporate Pkwy
Sunrise, FL 33323-2883
Phone (954) 858-2871

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Riverside Inc2 organizations share this tax ID, including this one
Part of
Interim Healthcare of Riverside Inc

Other organizations with this tax ID 1

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

Locations

16085 Tuscola Rd
Ste 6
Apple Valley, CA 92307
Phone (760) 242-0075

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1821112681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAWGRASS CORPORATE PKWY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232883",
            "telephone_number": "954-858-2871",
            "fax_number": "954-858-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16085 TUSCOLA RD",
            "address_2": "SUITE 6",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071358",
            "telephone_number": "760-242-0075",
            "fax_number": "760-242-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF RIVERSIDE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF RIVERSIDE, INC.",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SLUPECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-858-2753"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "CA250000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.