Island Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

025236H Issued in GA

Legal business name

ISLAND HEALTH CARE INC

Practice address

4 Skidaway Village Walk Ste a
Savannah, GA 31411-2962

Phone

(912) 629-2727

Fax

(912) 234-1718

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen B Bolch

Title

President/Ceo

Phone

(912) 629-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1487650917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SKIDAWAY VILLAGE WALK STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112962",
            "telephone_number": "912-629-2727",
            "fax_number": "912-234-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SKIDAWAY VILLAGE WALK STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112962",
            "telephone_number": "912-629-2727",
            "fax_number": "912-234-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "025236H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00817308A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Islands Family Dental, LLC
• Ismael G Montes MD PC
• IV Specialists Inc

• Home Health Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.