MEDICARE: INTERIM HEALTHCARE OF THE TRIAD, INC.

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	HC1902	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

General Provider Information

NPI Number	:	1255548301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTHCARE OF THE TRIAD, INC.

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	:	252-243-7385

Provider Business Practice Location Address
First Line	:	200 1ST AVE NW STE 314
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-6113
Country	:	US
Telephone Number	:	828-324-2121
Fax Number	:	828-324-9435

Authorized Official
Title or Position	:	CFO
Name	:	TERRI PILKINGTON
Credential	:
Telephone Number	:	252-243-7808

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	04/14/2025

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