Provider Demographics
NPI:1528291192
Name:INTERIM PLUS AGENCY
Entity type:Organization
Organization Name:INTERIM PLUS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:M
Authorized Official - Last Name:OPUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-270-0448
Mailing Address - Street 1:1150 MORSE RD
Mailing Address - Street 2:STE 307
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6327
Mailing Address - Country:US
Mailing Address - Phone:614-270-0448
Mailing Address - Fax:
Practice Address - Street 1:1150 MORSE RD
Practice Address - Street 2:STE 307
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-270-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM PLUS CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle