Provider Demographics
NPI:1073715926
Name:INTERIM HEALTHCARE OF OHIO
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF OHIO
Other - Org Name:INTERIM HEALTHCARE HOMESTYLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-880-2926
Mailing Address - Street 1:784 MORRISON RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6642
Mailing Address - Country:US
Mailing Address - Phone:614-888-3130
Mailing Address - Fax:614-888-3686
Practice Address - Street 1:784 MORRISON RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6642
Practice Address - Country:US
Practice Address - Phone:614-888-3130
Practice Address - Fax:614-888-3686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherOHIO PASSPORT CONTRACT