INTERIM HEALTHCARE OF THE TRIAD INC. NPI 1558578609

NPI Information

NPI: 1558578609
Provider Name: INTERIM HEALTHCARE OF THE TRIAD, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 42D0715564

Address:
154 AMENDMENT AVE STE 106
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-4166
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INTERIM HEALTHCARE OF THE TRIAD, INC. is a hospice care community based in Rock Hill, SC. INTERIM HEALTHCARE OF THE TRIAD, INC. NPI is 1558578609. The provider is registered as an organization entity type.

The provider's business location address is:

154 AMENDMENT AVE STE 106
ROCK HILL, SC
ZIP 29732-156
Phone: (803) 324-4166
Fax: (803) 324-7449

The provider's authorized official is Terri Pilkington .
The authorized official title is Cfo and has the following contact phone number (252) 206-7208.

The CLIA number assigned to this NPI record is 42D0715564 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 9/19/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		HPC-125	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	421580	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA

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

NPI Synchronization or Removal

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