Provider Demographics
NPI:1912025131
Name:INTERIM HEALTHCARE PRIVATE SERVICES, INC.
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE PRIVATE SERVICES, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:BIXBY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:352-326-3800
Mailing Address - Street 1:2010 NE 14TH STREET
Mailing Address - Street 2:BUILDING 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-351-5040
Mailing Address - Fax:352-351-5140
Practice Address - Street 1:2010 NE 14TH ST
Practice Address - Street 2:BUILDING 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-7740
Practice Address - Country:US
Practice Address - Phone:352-351-5040
Practice Address - Fax:352-351-5140
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE PRIVATE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-26
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20576096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health