Interim HealthCare – Home Health Agency, NPI 1154371144

Interim HealthCare is a healthcare provider. based in Roanoke, Virginia. specializing in Home Health Agency. The NPI Number for Interim HealthCare is 1154371144

Main info

Organization
Name
Interim HealthCare
NPI
1154371144
Phone
(540) 774-8686
Address
2747 PENN FOREST BLVD
Authorized Official
JEFFREY LYNN PETESEN CEO/OWNER
Enumeration Date
11 May 2006
Last Update Date
4 June 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

  • 2747, Penn Forest Boulevard, Ruxton, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240184342

    Phone: (540) 774-8686

    Fax: (540) 774-0279

    Type: Mailing

  • 3235, Virginia Avenue, Collinsville, Henry County, Virginia, 24078, United States

    COLLINSVILLE, VA 240782241

    Phone: (276) 647-1700

    Fax: (276) 647-4990

    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: 2004-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (863 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
O20040707001325OHome 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

Where can patients find Interim HealthCare's NPI?
You can confirm Interim HealthCare with NPI 1154371144; it appears in the national provider directory.
Is Interim HealthCare active in the national directory?
Interim HealthCare's public NPI profile is in an active state.
Does Interim HealthCare list a primary specialty?
If you are matching referrals, note Home Health Agency for Interim HealthCare. Clinical services aligned with this taxonomy classification.
Where is Interim HealthCare's primary listing?
We display Roanoke, Virginia because that is what the record indicates for Interim HealthCare.
What if Roanoke, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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