MEDICARE: INTERIM HEALTHCARE OF THE TRIAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC1901	NC
2	251E00000X	Home Health Agency	HC2952	NC
3	251E00000X	Home Health Agency	HC1885	NC
4	251E00000X	Home Health Agency	HC1902	NC
5	251E00000X	Home Health Agency	HC2222	NC
6	251E00000X	Home Health Agency	HC1903	NC
7	251E00000X	Home Health Agency	HHA169	SC
8	251E00000X	Home Health Agency	HC1886	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982696225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTHCARE OF THE TRIAD

Provider Business Mailing Address
First Line	:	2526 WARD BLVD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-1600
Country	:	US
Telephone Number	:	252-243-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BILLINGSLEY RD STE 203
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1075
Country	:	US
Telephone Number	:	704-372-8230
Fax Number	:	704-332-6143

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	TERRI PILKINGTON
Credential	:
Telephone Number	:	252-206-7208

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	11/21/2024

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MEDICARE: INTERIM HEALTHCARE OF THE TRIAD

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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