Organization Active NPI

Island Home Care, PLLC

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1437779949
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ISLAND HOME CARE, PLLC
Practice address
5300 Atlantic Ave Ste 106E
Raleigh, NC 27609-1123
Phone
(919) 588-4435
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Islande Mitil, RNNPI 1003415233
Title
Owner/Director
Phone
(919) 588-4435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

5300 Atlantic Ave Ste 106E
Raleigh, NC 27609-1123

Mailing address

PO Box 98024
Raleigh, NC 27624-8024
Phone (919) 588-4435

Other identifiers 1

IdentifierTypeStateIssuer
83-388969OtherIRS

National Provider Directory

National Provider Directory

Locations

5300 Atlantic Ave
Ste 106E
Raleigh, NC 27609
Phone (919) 588-4435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1437779949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98024",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248024",
            "telephone_number": "919-588-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE STE 106E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091123",
            "telephone_number": "919-588-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HOME CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MITIL",
        "authorized_official_first_name": "ISLANDE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "919-588-4435",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "83-388969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.