Interim HealthCare – Home Health Agency, NPI 1124078886

Interim HealthCare is a healthcare provider. based in Roanoke, Virginia. specializing in Home Health Agency. The NPI Number for Interim HealthCare is 1124078886

Main info

Organization
Name
Interim HealthCare
NPI
1124078886
Phone
(540) 774-8686
Address
4395 ELECTRIC ROAD
Authorized Official
MITCHELL P DAVIS CEO/OWNER
Enumeration Date
11 May 2006
Last Update Date
29 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Interim HealthCare

  • 4395, Electric Road, Beulah Heights, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240180721

    Phone: (540) 774-8686

    Fax: (540) 774-0279

    Type: Mailing

  • 201, Wheatland Court, Apple Acres, Cambria, Christiansburg, Montgomery County, Virginia, 24073, United States

    CHRISTIANSBURG, VA 240731091

    Phone: (540) 381-2757

    Fax: (540) 381-2769

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (864 days ago).

Enrollment records

1

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20030303000021OHome Health AgencyVA2024-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24018)

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Reviews

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Frequently asked questions

Can I cross-check Interim HealthCare using NPI 1124078886?
NPI 1124078886 belongs to Interim HealthCare; compare other details if you need extra assurance.
Would Interim HealthCare appear as active to a payer?
You can treat Interim HealthCare as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Interim HealthCare?
Interim HealthCare's specialty line reads Home Health Agency. Clinical services aligned with this taxonomy classification.
Is Interim HealthCare associated with Roanoke?
Public fields place Interim HealthCare around Roanoke, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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