Provider Demographics
NPI:1467471680
Name:INTERIM HEALTHCARE OF CINCINNATI, INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF CINCINNATI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-436-9404
Mailing Address - Street 1:8035 HOSBROOK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2932
Mailing Address - Country:US
Mailing Address - Phone:513-984-1110
Mailing Address - Fax:513-984-1442
Practice Address - Street 1:8035 HOSBROOK RD STE 300
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2932
Practice Address - Country:US
Practice Address - Phone:513-984-1110
Practice Address - Fax:513-984-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251B00000X
251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3400559500Medicaid
KY4254003900Medicaid
OHNAC100OtherHUMANA
KY4154001400Medicaid
KY4534240900Medicaid
OH0509739Medicaid
OH000000002998OtherANTHEM
KY4254003900Medicaid