Healthcare Provider Details

I. General information

NPI: 1902013063
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF THE TRIAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BILLINGSLEY RD STE 203
CHARLOTTE NC
28211-1075
US

IV. Provider business mailing address

2526 WARD BLVD
WILSON NC
27893-1600
US

V. Phone/Fax

Practice location:
  • Phone: 704-372-8230
  • Fax: 704-348-2672
Mailing address:
  • Phone: 252-243-7808
  • Fax: 252-243-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1886
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA169
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2222
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1902
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1903
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1885
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2952
License Number StateNC
# 8
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1901
License Number StateNC

VIII. Authorized Official

Name: TERRI PILKINGTON
Title or Position: CFO
Credential:
Phone: 252-243-7808