Provider Demographics
NPI:1558394247
Name:INTERIM HEALTHCARE OF AKRON-CANTON INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF AKRON-CANTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
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 1:3480 W MARKET ST STE 106
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3316
Mailing Address - Country:US
Mailing Address - Phone:330-836-5571
Mailing Address - Fax:330-836-5721
Practice Address - Street 1:3480 W MARKET ST STE 106
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3316
Practice Address - Country:US
Practice Address - Phone:330-836-5571
Practice Address - Fax:330-836-5721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0504761Medicaid
OH0788527Medicaid
OH0504761Medicaid