INTERIM HEALTHCARE OF SYRACUSE, INC (NPI# 1124051412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051412 |
| Entity Type | Organization |
| Organization Name | INTERIM HEALTHCARE OF SYRACUSE, INC |
| Other Organization Name | MEDICAL PERSONEL POOL OF SYRACUSE |
| Practice Address |
3502 James Street Syracuse NY 13206 |
| Practice Telephone | 3154374500 |
| Practice Fax Number | 3154371632 |
| Mailing Telephone | 3154374500 |
| Mailing Fax Number | 3154371632 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | JASON C BYRNES (PRESIDENT) |
| Authorized Official Telephone | 3154374500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 9669L001 | NY | Agencies |
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00588005 | 05 | |
| NY | 00681989 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL PERSONEL POOL OF SYRACUSE | Former Legal Business Name - Organization |
| Street Address |
3502 JAMES STREET |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
| 1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
| 1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
| 1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
| 1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| Find all providers in zip 13206 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356665129 | Jessica Kori Secreti | Home Health Aide | 1209 Oak St, Syracuse, NY 13203-1025 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060697 | Nerlande Sejour | Home Health Aide | 317 Glynn St, North Babylon, NY 11703-3503 | 2020-10-12 |
| 1457966319 | Solid Rock Home Care and Staffing Agency | Home Health Aide | 10809 Flatlands 7th St, Brooklyn, NY 11236-4646 | 2020-09-08 |
| 1275147795 | Kimberly Herring | Home Health Aide | 132 South St, Newburgh, NY 12550-4539 | 2020-09-02 |
| 1811500382 | Margarita Colon Jr. | Home Health Aide | 70 E 108th St Apt 7c, New York, NY 10029-3827 | 2020-08-25 |
| 1083226260 | Betchina Sagaille | Home Health Aide | 19407 112th Rd, Saint Albans, NY 11412-2413 | 2020-08-19 |
| 1346867504 | Kimberly Tarbox | Home Health Aide | 1533 State Route 66, Ghent, NY 12075-2908 | 2020-07-02 |
| 1245853464 | Bertha Serwaa Antobre | Home Health Aide | 2407 Tilden Ave Apt B, Brooklyn, NY 11226-8163 | 2020-05-21 |
| 1275155780 | Diamond Care Companion Agency Inc. | Home Health Aide | 7 Lattice Ct, Ridge, NY 11961-1901 | 2020-05-07 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134752801 | Happy and Great Home Care Services, Inc. | Home Health Aide | 1060 E 229th St, Bronx, NY 10466-4808 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.