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NPI Code Detail

MEDICARE: ISLAND HOME HEALTH CARE, INC.

MEDICARE: ISLAND HOME HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency008385TX

General Provider Information

NPI Number : 1316944002
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 1908 STATE HIGHWAY 361
Second Line :
City : PORT ARANSAS
State : TX
Zip : 78373-4894
Country : US
Telephone Number : 361-749-0085
Fax Number : 361-749-2466
Provider Business Practice Location Address
First Line : 1908 STATE HIGHWAY 361
Second Line :
City : PORT ARANSAS
State : TX
Zip : 78373-4894
Country : US
Telephone Number : 361-749-0085
Fax Number : 361-749-2466
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MS. KATHRYN RICHARDS CARR
Credential : R.N.
Telephone Number : 361-749-0085
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/19/2010

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Directions to “ISLAND HOME HEALTH CARE, INC. ” Practice Location

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