Organization Active NPI

Ihc III

Doing business as Independent Life at Home

  • Home Health Aide
  • Savannah, GA
National Provider Identifier
1285720185
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
025R0020 Issued in GA
Legal business name
IHC III
Doing business as
Independent Life at Home
Practice address
3 W Perry St
Savannah, GA 31401-3951
Phone
(912) 629-2727
NPI assigned
Oct 5, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ellen B Bolch
Title
President-Ceo
Phone
(912) 629-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 025R0020 GA Primary

Addresses

Primary practice location

3 W Perry St
Savannah, GA 31401-3951

Mailing address

3 W Perry St
Savannah, GA 31401-3951
Phone (912) 629-2727

Other names 1

  • Independent Life at Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1285720185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W PERRY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013951",
            "telephone_number": "912-629-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W PERRY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013951",
            "telephone_number": "912-629-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BOLCH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "912-629-2727"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "025R0020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Life at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.