Organization
INTERIM HEALTHCARE OF CINCINNATI, INC
Active
Other names
Interim HealthCare of Northern Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J DIMARCO (CEO)
(614) 436-9404
Entity
Organization
Contact information
Practice address
3005 DIXIE HWY, SUITE 130, EDGEWOOD, KY 41017-2352
(859) 578-9191
(859) 578-9276
Mailing address
3005 DIXIE HWY STE 100, EDGEWOOD, KY 41017-2352
(859) 578-9191
(859) 578-9276
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
150136
KY
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
150136
KY
251J00000X
Nursing Care Agency
150136
KY
251K00000X
Public Health or Welfare Agency
720221
KY
252Y00000X
Early Intervention Provider Agency
150136
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002998
ANTHEM
KY
05
—
34005595
—
KY
05
—
41540014
—
KY
05
—
42540039
—
KY
05
—
45342409
—
KY
05
—
7100331180
—
KY
Enumeration date
06/10/2011
Last updated
05/01/2024
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