NPIMap

Organization Active NPI

Interim Healthcare of Pittsburgh

Doing business as Interim Healthcare of Bridgeport

  • Home Health Agency
  • Bridgeport, WV
National Provider Identifier
1841384765
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
022134 Issued in WV
Legal business name
INTERIM HEALTHCARE OF PITTSBURGH
Doing business as
Interim Healthcare of Bridgeport
Practice address
37 Grande Meadows Dr Ste 203
Bridgeport, WV 26330-9035
Phone
(304) 592-3538
Fax
(304) 592-0817
NPI assigned
Oct 3, 2006
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 022134 WV Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

37 Grande Meadows Dr Ste 203
Bridgeport, WV 26330-9035

Mailing address

37 Grande Meadows Dr Ste 203
Bridgeport, WV 26330-9035
Phone (304) 592-3538

Other names 1

  • Interim Healthcare of Bridgeport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021202000025 WV Part A Provider - Home Health Agency 8325956675 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bridgeport, WV; Morgantown, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841384765. Details of each certification follow.

Home health agency certification: CCN 517098

Legal name
INTERIM HEALTHCARE OF PITTSBURGH, INC.
Doing business as
INTERIM HEALTHCARE OF MORGANTOWN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 1995
Last certification
Feb 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 20, 1971 in PA
Enrollment address
1111 Van Voorhis Rd
Ste 2
Morgantown, WV 26505-2737

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 Health Care of MorgantownCCN 517098 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 8, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Pittsburgh18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

37 Grande Meadows Dr
Ste 203
Bridgeport, WV 26330
Phone (304) 592-3538

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kevin S Murphy Individual W-2 Managing EmployeeRVP Sep 30, 2024
Salo Inc Organization, Worthington, OH Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 1984 100%
Jason Merkle Individual Corporate OfficerExecutive Vice President Mar 11, 2024
Whitney T Graham Individual W-2 Managing EmployeeAdministrator May 9, 2022
Operational/Managerial ControlAdministrator May 9, 2022
Christine D Oswald Individual 5% Or Greater Indirect Ownership InterestPresident & Cfo Apr 16, 2004 8.56%
Corporate OfficerPresident & Cfo Nov 7, 2004
Corporate DirectorBoard Member Nov 14, 2009
Thomas Joseph Dimarco Individual 5% Or Greater Indirect Ownership InterestCeo Nov 7, 2004 75.78%
Corporate OfficerCeo Mar 6, 1987
Corporate DirectorBoard Member May 5, 1988
Diane S Piccard Individual Corporate OfficerChief Clinical Officer Dec 19, 2013
Corporate DirectorGoverning Board Member Dec 19, 2013

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1841384765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GRANDE MEADOWS DR STE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309035",
            "telephone_number": "304-592-3538",
            "fax_number": "304-592-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GRANDE MEADOWS DR STE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309035",
            "telephone_number": "304-592-3538",
            "fax_number": "304-592-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF PITTSBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-436-9404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "022134",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Bridgeport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Bridgeport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.