Provider Demographics
NPI:1598841850
Name:INTERIM HEALTHCARE OF COLUMBUS, INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF COLUMBUS, INC
Other - Org Name:INTERIM HEALTHCARE OF NEWARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
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 1:675 HOPEWELL DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1579
Mailing Address - Country:US
Mailing Address - Phone:740-349-8700
Mailing Address - Fax:740-366-0191
Practice Address - Street 1:675 HOPEWELL DR
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1579
Practice Address - Country:US
Practice Address - Phone:740-349-8700
Practice Address - Fax:740-366-0191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE OF COLUMBUS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-30
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2429205Medicaid
OH36-7323Medicare UPIN
OH367323Medicare ID - Type Unspecified