Healthcare Provider Details

I. General information

NPI: 1043469950
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF THE TRIANGLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 UNIVERSITY DR SUITE 135
DURHAM NC
27707-6203
US

IV. Provider business mailing address

PO BOX 52300
DURHAM NC
27717-2300
US

V. Phone/Fax

Practice location:
  • Phone: 919-493-7575
  • Fax: 919-493-0454
Mailing address:
  • Phone: 919-493-7575
  • Fax: 919-493-0454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC2075
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA LOU BYRD
Title or Position: OWNER
Credential:
Phone: 919-493-7575