INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.
NPI 1417950874
Home Health in Duluth, MN

Q: What is Interim Healthcare Of Lake Superior, Inc.'s specialty?

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

Active since May 31, 2005

332 W SUPERIOR ST, SUITE 204, DULUTH, MN 55802(218) 722-0053(218) 722-0318 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2019, Sep 28, 2018, Mar 14, 2016 (3 updates tracked since 2016).

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About Interim Healthcare Of Lake Superior, Inc. NPPES

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

INTERIM HEALTHCARE OF LAKE SUPERIOR, INC. (NPI 1417950874) is a healthcare organization registered as a home health in Duluth, Minnesota and active in the NPI registry since May 2005. The organization lists Kari Jo Jarvi, Controller, as its authorized official.

NPPES Registry Identity

NPI1417950874

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameINTERIM HEALTHCARE OF LAKE SUPERIOR, INC.

Location Address332 W SUPERIOR ST, SUITE 204Duluth, MN 55802

Mailing Address332 W Superior St, Suite 204Duluth, MN 55802 · (218) 722-0053 · Fax (218) 722-0318

Phone(218) 722-0053

Fax(218) 722-0318

Organization SubpartNo

Authorized OfficialKari Jo JarviController · (218) 722-0053

Enumeration DateMay 31, 2005

Last NPPES UpdateOctober 8, 20193 updates tracked since enumeration

✔ NPI 1417950874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MN · 327241

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.

332 W SUPERIOR ST, Duluth, MN 55802

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Other Identifiers 6

Medicaid41529800WI

Other8569INMN · Blue Cross Blue Shield

Medicaid964355900MN

Other109638MN · Ucare

Other59-00052MN · Medica

Medicaid96435590MN

Other Providers at the Same Location NPPES 20

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

KIMBERLY OVERLIE MSED, LPC

Counselor (Professional)

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

LAURA NECHANICKY

Counselor

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

AMANDA LUFHOLM

Counselor (Mental Health)

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

SARA GILLIS LADC

Counselor

332 W SUPERIOR ST, 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

STACY OVERBY LADC

Counselor (Addiction (Substance Use Disorder))

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

RACHEL MARIE MUELLER LPCC

Counselor (Professional)

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

MRS. SARAH ADRIANNE WILLIAMS LMFT

Marriage & Family Therapist

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

RITA LETSOS LADC

Counselor (Addiction (Substance Use Disorder))

332 W SUPERIOR ST, SUITE 300
DULUTH, MN 55802

St. Louis County (218) 722-4379

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 Healthcare Of Lake Superior, Inc.'s NPI number?

The NPI number for Interim Healthcare Of Lake Superior, Inc. is 1417950874. It was assigned to this organization in the NPPES registry on May 31, 2005.

Where is Interim Healthcare Of Lake Superior, Inc. located?

Interim Healthcare Of Lake Superior, Inc. is located at 332 W Superior St Suite 204, Duluth, MN 55802. The listed phone number is (218) 722-0053.

What is Interim Healthcare Of Lake Superior, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Interim Healthcare Of Lake Superior, Inc. was last updated on October 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.