NPIMap

Organization Active NPI

Interim Healthcare of the Triad, Inc.

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1902015340
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1885
Legal business name
INTERIM HEALTHCARE OF THE TRIAD, INC.
Practice address
2100 W Cornwallis Dr Ste T
Greensboro, NC 27408-7015
Phone
(336) 273-4600
Fax
(336) 370-0790
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF THE TRIAD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Terri Pilkington
Title
Cfo
Phone
(252) 206-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1885 Primary

Addresses

Primary practice location

2100 W Cornwallis Dr Ste T
Greensboro, NC 27408-7015

Mailing address

2526 Ward Blvd
Wilson, NC 27893-1600
Phone (252) 243-7808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081021000588 NC Part A Provider - Home Health Agency 8325066236 Practice locations: Greensboro, NC; Winston Salem, NC

Home health agency certification: CCN 347232

Legal name
INTERIM HEALTHCARE OF THE TRIAD INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2000
Last certification
Jun 28, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 15, 2000 in NC
Enrollment address
2100 - TW Cornwallis Dr
Greensboro, NC 27408-7015

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of the TriadCCN 347232
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 29, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of the Triad22 organizations share this tax ID, including this one
Part of
Interim Healthcare of the Triad

Other organizations with this tax ID 21

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

View all 21

Locations

2100 W Cornwallis Dr
Ste T
Greensboro, NC 27408
Phone (336) 273-4600

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Terri Pilkington Individual 5% Or Greater Direct Ownership InterestCeo/Cfo Jun 1, 2000 25%
Corporate Officer Jun 1, 2000 100%
Corporate Director Jun 15, 2000
Margaret Webb Individual 5% Or Greater Direct Ownership Interest Jun 1, 2000 25%
W-2 Managing Employee Jun 1, 2000 100%

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.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1902015340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931600",
            "telephone_number": "252-243-7808",
            "fax_number": "252-243-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CORNWALLIS DR STE T",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087015",
            "telephone_number": "336-273-4600",
            "fax_number": "336-370-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF THE TRIAD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF THE TRIAD, INC.",
        "enumeration_date": "2007-05-22",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "PILKINGTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-206-7208"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "HC1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.