Provider Demographics
NPI:1891494753
Name:INTERIM HEALTHCARE HOSPICE, LLC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF COMPANY OWNED HOSPICE OPS
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-205-2152
Mailing Address - Street 1:2640 CARROLL SOUTHERN RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9465
Mailing Address - Country:US
Mailing Address - Phone:614-205-2152
Mailing Address - Fax:
Practice Address - Street 1:999 PEACHTREE ST NE STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4426
Practice Address - Country:US
Practice Address - Phone:404-424-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based