Provider Demographics
NPI:1891719472
Name:INTERIM HEALTHCARE OF COLUMBUS, INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF COLUMBUS, 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 1:784 MORRISON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
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:COLUMBUS
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:2006-07-27
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0530009Medicaid
OH=========Medicare UPIN
OH367164Medicare PIN
OH=========-00Medicare UPIN