Organization Active NPI

Delta Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1073379749
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DELTA HOME HEALTH CARE LLC
Practice address
5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823
Phone
(702) 747-1530
NPI assigned
Feb 21, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Beverly Alcala
Title
President
Phone
(702) 747-1530

Care Compare: Home health agency

Medicare Care Compare
Listed as
Delta Home Health Care LLCCCN 297356
Ownership
-
Certified
Nov 21, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Home health agency certification: CCN 297356

Medicare enrollment files
Legal name
DELTA HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2024
Last certification
Nov 7, 2024
Organization structure
LLCProprietary
Incorporated
May 14, 2021 in NV
Enrollment address
5600 Spring Mountain Rd
Ste 208
Las Vegas, NV 89146-8823

All disclosed owners & managing parties 1

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beverly Alcala Individual 5% Or Greater Direct Ownership InterestCeo May 14, 2021 100%
Corporate OfficerCeo May 14, 2021 100%
W-2 Managing EmployeeCeo May 14, 2021 100%
Operational/Managerial ControlCeo May 14, 2021 100%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20240611000967 NV Part a Provider - Home Health Agency 3274075825 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5600 Spring Mountain Rd
Ste 208
Las Vegas, NV 89146
Phone (702) 747-1530

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823

Mailing address

5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823
Phone (702) 747-1530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2024.

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1073379749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-747-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-747-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "ALCALA",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-747-1530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.