Healthcare Provider Details

I. General information

NPI: 1629863642
Provider Name (Legal Business Name): INTERIM HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 GALLIA ST
NEW BOSTON OH
45662-5511
US

IV. Provider business mailing address

4130 GALLIA ST
NEW BOSTON OH
45662-5511
US

V. Phone/Fax

Practice location:
  • Phone: 740-354-5550
  • Fax: 740-354-5670
Mailing address:
  • Phone: 740-354-5550
  • Fax: 740-354-5670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLI CONKLIN
Title or Position: PRESIDENT
Credential:
Phone: 740-354-5550