Interim Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000254 Issued in CA

Legal business name

INTERIM HEALTHCARE INC.

Practice address

23691 Birtcher Dr
Suite a
Lake Forest, CA 92630-1770

Phone

(714) 937-2900

Fax

(714) 937-1201

NPI assigned

Jun 8, 2006

Organization subpart

Yes

Parent organization

INTERIM HEALTHCARE INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael Slupecki

Title

Cfo

Phone

(954) 858-2753

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Interim HLTH Care

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1922049428",
    "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": "333232827",
            "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": "23691 BIRTCHER DR",
            "address_2": "SUITE A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301770",
            "telephone_number": "714-937-2900",
            "fax_number": "714-937-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE INC.",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-02-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07850F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.