Organization Active NPI

Delta Homecare

  • Home Health Agency
  • Newnan, GA
National Provider Identifier
1053428615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
038-R-0002 Issued in GA
Legal business name
DELTA HOMECARE
Practice address
14 Farmer St
Newnan, GA 30263-1417
Phone
(770) 502-7912
Fax
(770) 502-7709
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Louis E. Kuntz, M.S.,F.A.C.H.E., CPA
Title
Administrator
Phone
(770) 502-7912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 038-R-0002 GA Primary

Addresses

Primary practice location

14 Farmer St
Newnan, GA 30263-1417

Mailing address

14 Farmer St
Newnan, GA 30263-1417
Phone (770) 502-7912

Other identifiers 2

IdentifierTypeStateIssuer
00866489AMedicaidGA
00866489BMedicaidGA

National Provider Directory

National Provider Directory

Locations

14 Farmer St
Newnan, GA 30263
Phone (770) 502-7912

1590 Macedonia Rd
Newnan, GA 30263

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053428615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FARMER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631417",
            "telephone_number": "770-502-7912",
            "fax_number": "770-502-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FARMER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631417",
            "telephone_number": "770-502-7912",
            "fax_number": "770-502-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-502-7912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,F.A.C.H.E., CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "038-R-0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00866489A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00866489B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.