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INTERIM HEALTHCARE OF MADISON, INC
NPI 1588725535
Home Health in Madison, WI

Active since December 13, 2006CLIA 52D0884948 · Waiver
702 N BLACKHAWK AVE, SUITE 215, MADISON, WI 53705(608) 238-0268(608) 238-7308 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Interim Healthcare Of Madison, Inc NPPES

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

INTERIM HEALTHCARE OF MADISON, INC (NPI 1588725535) is a healthcare organization registered as a home health in Madison, Wisconsin and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists David E Utter, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588725535
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameINTERIM HEALTHCARE OF MADISON, INC
Location Address702 N BLACKHAWK AVE, SUITE 215Madison, WI 53705-3357
Mailing Address702 N Blackhawk Ave, Suite 215Madison, WI 53705-3357 · (608) 238-0268 · Fax (608) 238-7308
Phone(608) 238-0268
Fax(608) 238-7308
Organization SubpartNo
Authorized OfficialDavid E UtterAdministrator · (608) 238-0268
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 23, 2012
✔ NPI 1588725535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WI · 206
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.
702 N BLACKHAWK AVE, Madison, WI 53705
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Other Identifiers 2

Medicaid43103700WI
Other206WI · Wi Hha License Number

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 52D0884948

Interim Healthcare Of Wisconsin · Madison, WI
Active · expires Apr 12, 2028
CLIA Number52D0884948
Laboratory TypeHome Health Agency
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorSandi Dimiceli
Laboratory Phone(608) 238-0268
Laboratory LocationInterim Healthcare Of Wisconsin2801 Coho St Suite 101, Madison, WI 53713
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

NRRC, SC
Psychologist (Clinical)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Dane County (608) 616-0118
SHARIETY GIBBS MA, LPC
Counselor (Professional)
702 N BLACKHAWK AVE
MADISON, WI 53705
Dane County (608) 233-3037
MS. TERESA NYHOLT LCSW
Social Worker (Clinical)
702 N BLACKHAWK AVE
MADISON, WI 53705
Dane County (608) 358-9287
DR. WILLIAM JAMES SWIFT M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Dane County (608) 663-5926
MADISON PSYCHOTHERAPY CENTER, LLC
Counselor (Mental Health)
702 N BLACKHAWK AVE, SUITE 205
MADISON, WI 53705
Dane County (608) 233-3037
EMILY E JAIME MFT
Marriage & Family Therapist
702 N BLACKHAWK AVE, SUITE 200
MADISON, WI 53705
Dane County (608) 233-3037
MS. JAVON ALYASIRI MSSW, LCSW
Social Worker (Clinical)
702 N BLACKHAWK AVE
MADISON, WI 53705
Dane County (608) 778-6409
DR. JOSEPH J COLLETTI PHD
Psychologist (Clinical)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Dane County (608) 663-5449

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 Madison, Inc's NPI number?

The NPI number for Interim Healthcare Of Madison, Inc is 1588725535. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Interim Healthcare Of Madison, Inc located?

Interim Healthcare Of Madison, Inc is located at 702 N Blackhawk Ave Suite 215, Madison, WI 53705. The listed phone number is (608) 238-0268.

What is Interim Healthcare Of Madison, Inc's specialty?

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

Does Interim Healthcare Of Madison, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0884948) is associated with this NPI, valid through April 12, 2028. 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 Of Madison, Inc was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.