INTERIM HEALTHCARE OF THE TRIAD

Provider Demographics

• NPI: 1982696225
• Name: INTERIM HEALTHCARE OF THE TRIAD
• Entity Type: Organization
• Organization Name: INTERIM HEALTHCARE OF THE TRIAD
• Authorized Official - Title/Position: CHIEF FINANCIAL OFFICER
• Authorized Official - First Name: TERRI
• Authorized Official - Last Name: PILKINGTON
• Authorized Official - Phone: 252-206-7208
• Mailing Address - Street 1: 2526 WARD BLVD
• Mailing Address - City: WILSON
• Mailing Address - State: NC
• Mailing Address - Zip Code: 27893-1600
• Mailing Address - Country: US
• Mailing Address - Phone: 252-243-7808
• Practice Address - Street 1: 330 BILLINGSLEY RD STE 207
• Practice Address - City: CHARLOTTE
• Practice Address - State: NC
• Practice Address - Zip Code: 28211-3137
• Practice Address - Country: US
• Practice Address - Phone: 704-372-8230
• Practice Address - Fax: 704-332-6143
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-08-22
• Last Update Date: 2022-07-21

Provider Licenses

State	License ID	Taxonomies
NC	HC1901	251E00000X
NC	HC2952	251E00000X
NC	HC1886	251E00000X
NC	HC1885	251E00000X
NC	HC1902	251E00000X
NC	HC2222	251E00000X
NC	HC1903	251E00000X
SC	HHA169	251E00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251E00000X	Agencies	Home Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	6600715	Medicaid
NC	7100387	Medicaid
NC	7100468	Medicaid
NC	3407232	Medicaid
NC	3407233	Medicaid
NC	6600713	Medicaid
NC	6600714	Medicaid
NC	7100388	Medicaid
NC	6600722	Medicaid
NC	6600866	Medicaid
NC	7100384	Medicaid
NC	3407234	Medicaid
NC	6601256	Medicaid
NC	7100385	Medicaid
NC	7100386	Medicaid
NC	6600712	Medicaid
NC	7100551	Medicaid
NC	7100468	Medicaid
NC	6600712	Medicaid
NC	6600713	Medicaid