Active NPI
Island Home Care, PLLC
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1437779949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Islande Mitil, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-388969 | Other | IRS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Raleigh, NC
- NPI 1003415233
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.