Delta Care Network Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DELTA CARE NETWORK INC

Practice address

2136 Ford Pkwy # 5354
Saint Paul, MN 55116-2850

Phone

(302) 290-6282

NPI assigned

Mar 8, 2024

Organization subpart

No

Name

Chavauna Cooper

Title

Owner

Phone

(302) 290-6282

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2024.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1003674524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5354",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "302-290-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5354",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "302-290-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHAVAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-290-6282"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanah M Delisle, MD
• Delle Jacobs, Limited
• Stephen Anthony Delong, LICSW
• Amanda N Delsman, PSYD LP
• Delta Academy of Technology and Innovation
• Caleb Delvaux
• Alistair Ross Demcoe, M.D., FRCSC
• Kurt C Demel, MD
• Rachel M Demlow
• Judith Ann Demorest, AUD

• All providers in Saint Paul, MN
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.