INTERIM HEALTHCARE SUPPORTIVE SERVICES
NPI 1518042597
Home Health in Wausau, WI

Q: What is Interim Healthcare Supportive Services's specialty?

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

Active since October 26, 2006CLIA 52D0876214 · Waiver

2402 GRAND AVE, WAUSAU, WI 54403(715) 842-7707(715) 842-9890 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Interim Healthcare Supportive Services NPPES

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

INTERIM HEALTHCARE SUPPORTIVE SERVICES (NPI 1518042597) is a healthcare organization registered as a home health in Wausau, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jan L Kocha, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518042597

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameINTERIM HEALTHCARE SUPPORTIVE SERVICES

Location Address2402 GRAND AVEWausau, WI 54403-6918

Mailing Address2402 Grand AveWausau, WI 54403-6918 · (715) 842-7707 · Fax (715) 842-9890

Phone(715) 842-7707

Fax(715) 842-9890

Organization SubpartNo

Authorized OfficialJan L KochaAdministrator · (715) 842-7707

Enumeration DateOctober 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518042597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

2402 GRAND AVE, Wausau, WI 54403

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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 52D0876214

Interim Healthcare · Wausau, WI

Active · expires Sep 14, 2027

CLIA Number52D0876214

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 15, 2025

Certificate Expiration DateSeptember 14, 2027

Laboratory DirectorSandi Dimiceli

Laboratory Phone(715) 842-7707

Laboratory LocationInterim Healthcare510 N 17th Ave Ste A, Wausau, WI 54401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AMY MARIE TROTZER P.T.

Physical Therapist

2402 GRAND AVE
WAUSAU, WI 54403

Marathon County (715) 842-7707

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 Supportive Services's NPI number?

The NPI number for Interim Healthcare Supportive Services is 1518042597. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Interim Healthcare Supportive Services located?

Interim Healthcare Supportive Services is located at 2402 Grand Ave, Wausau, WI 54403. The listed phone number is (715) 842-7707.

What is Interim Healthcare Supportive Services's specialty?

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

Does Interim Healthcare Supportive Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0876214) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interim Healthcare Supportive Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.