INTERIM HEALTHCARE
NPI 1396110219
Home Health in San Mateo, CA
- Organization
- Home Health
About INTERIM HEALTHCARE
This page provides the complete NPI Profile along with additional information for Interim Healthcare, a provider established in San Mateo, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1396110219 assigned on December 2015. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Interim Healthcare. The authorized official of this NPI record is Jake Caruso (Managing Director)
- NPI
- 1396110219 Verify this NPI
- Provider Legal Name
- BLACK MOUNTAIN, LLC
- Other Organization Name
- INTERIM HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 177 BOVET RD SUITE 130 SAN MATEO, CA 94402
- Location Phone
- (650) 785-2800
- Location Fax
- (650) 785-2801
- Mailing Address
- PO BOX 72 BURLINGAME, CA 94011
- Mailing Phone
- (650) 785-2800
- Mailing Fax
- (650) 785-2801
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2015
- Last Update Date
- 12-03-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
SAN MATEO, CA 94402
SAN MATEO, CA 94402
SAN MATEO, CA 94402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396110219, enumerated as an "organization" on December 03, 2015.
The provider is located at 177 BOVET RD SUITE 130 SAN MATEO, CA 94402 and the phone number is (650) 785-2800.
Home Health with taxonomy code 251E00000X.
