Island Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA111 Issued in SC

Legal business name

ISLAND HEALTH CARE, INC

Practice address

300 New River Pkwy Ste 7
Hardeeville, SC 29927-4575

Phone

(912) 629-2727

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": "1634601600000",
    "number": "1710983242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8011",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314128011",
            "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": "300 NEW RIVER PKWY STE 7",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274575",
            "telephone_number": "912-629-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470519",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa Ireland, RPH
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• Lisa Johnson
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• Home Health Agency in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.