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INTERIM HEALTH CARE SRVCS, INC.
NPI 1043391832
Home Health in Blakely, PA

Active since October 18, 2006CLIA 39D0861105 · Waiver
200 3RD ST, FIRST FLOOR, BLAKELY, PA 18447(570) 883-9773(570) 883-9779 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Interim Health Care Srvcs, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERIM HEALTH CARE SRVCS, INC. (NPI 1043391832) is a healthcare organization registered as a home health in Blakely, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark Zeshonski, Asst. Administrator, as its authorized official.

NPPES Registry Identity

NPI1043391832
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameINTERIM HEALTH CARE SRVCS, INC.
Location Address200 3RD ST, FIRST FLOORBlakely, PA 18447-1017
Mailing Address200 3rd St, First FloorBlakely, PA 18447-1017 · (570) 883-9773 · Fax (570) 883-9779
Phone(570) 883-9773
Fax(570) 883-9779
Organization SubpartNo
Authorized OfficialMark ZeshonskiAsst. Administrator · (570) 489-6781
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1043391832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in PA · 745705
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
200 3RD ST, Blakely, PA 18447
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Other Identifiers 2

Medicaid1000044970007PA
Other397457PA · Blue Cross Of Nepa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0861105

Interim Health Care Services Inc · Blakely, PA
Active · expires Aug 31, 2026
CLIA Number39D0861105
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Rajan Mulloth
Laboratory Phone(570) 883-9773
Laboratory LocationInterim Health Care Services Inc200 3rd Street, Blakely, PA 18447
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERIM HEALTHCARE SERVICES, INC.
Nursing Care
200 3RD ST
BLAKELY, PA 18447
Lackawanna County (570) 489-6781
INTERIM HEALTH CARE SERVICES OF NE PA INC.
Home Health
200 3RD ST
BLAKELY, PA 18447
Lackawanna County (570) 489-6781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interim Health Care Srvcs, Inc.'s NPI number?

The NPI number for Interim Health Care Srvcs, Inc. is 1043391832. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Interim Health Care Srvcs, Inc. located?

Interim Health Care Srvcs, Inc. is located at 200 3rd St First Floor, Blakely, PA 18447. The listed phone number is (570) 883-9773.

What is Interim Health Care Srvcs, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Interim Health Care Srvcs, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0861105) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Interim Health Care Srvcs, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Interim Health Care Srvcs, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Interim Health Care Srvcs, Inc. was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.