Island Home Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ISLAND HOME CARE AGENCY, INC

Practice address

817 Simonton St
Key West, FL 33040-7445

Phone

(305) 735-4460

Fax

(305) 453-6186

NPI assigned

Mar 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly Roberts Wilkerson

Title

President

Phone

(305) 735-4460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Key West HHA, LLC

  • Home Health Agency
  • Key West, FL
  • NPI 1053833368

  Sold to, 2017-07-15

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1184922668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 4TH ST",
            "address_2": "SUITE 179",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403763",
            "telephone_number": "305-735-4460",
            "fax_number": "305-453-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SIMONTON ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407445",
            "telephone_number": "305-735-4460",
            "fax_number": "305-453-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-735-4460",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine & Kidney Associates PA
• Casey Marie Internicola, BCBA
• Ioana Carabin MD PA
• Elizabeth J Isalguez, MD
• Island Dental Associates, P. a.
• Island Surgical Care, Inc.
• Jackie Klein Lefferts MD PA
• Jerry Jay Jackson, MD
• Ashley R James
• Janice a Moody, MD, PA

• Home Health Agency in Key West, FL
• Providers in Key West, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.