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INTERIM HEALTHCARE OF SYRACUSE INC NPI 1124051412


NPI Information

NPI: 1124051412
Provider Name: INTERIM HEALTHCARE OF SYRACUSE, INC

Former Legal Business Name: MEDICAL PERSONEL POOL OF SYRACUSE

Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
3502 JAMES STREET
SYRACUSE, NY
ZIP 13206
Phone: (315) 437-4500
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INTERIM HEALTHCARE OF SYRACUSE, INC is a home health aide in Syracuse, NY. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. INTERIM HEALTHCARE OF SYRACUSE, INC NPI is 1124051412. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Medical Personel Pool Of Syracuse.

The provider's business location address is:

3502 JAMES STREET
SYRACUSE, NY
ZIP 13206
Phone: (315) 437-4500
Fax: (315) 437-1632

The provider's authorized official is Jason C Byrnes .
The authorized official title is President and has the following contact phone number (315) 437-4500.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 9/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health9669L001NEW YORKNo
2374U00000XHome Health AideYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100588005MEDICAIDNEW YORK
200681989MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.