NPIMap

Organization Active NPI

Delta American Healthcare, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Delhi, LA
National Provider Identifier
1104941392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
591 Issued in LA
Legal business name
DELTA AMERICAN HEALTHCARE, INC
Practice address
119 Broadway St
Delhi, LA 71232-2903
Phone
(318) 878-9017
Fax
(318) 878-2585
NPI assigned
Mar 20, 2007
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. Jesse Prisock
Title
Accountant
Phone
(318) 878-9058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 591 LA Primary

Addresses

Primary practice location

119 Broadway St
Delhi, LA 71232-2903

Mailing address

115 Broadway St
PO Box 727
Delhi, LA 71232-2903
Phone (318) 878-9058

Other identifiers 1

IdentifierTypeStateIssuer
1718416OtherLAPROVIDER # RACE ST. CH

National Provider Directory

National Provider Directory
Tax ID family
Delta American Healthcare Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104941392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADWAY ST",
            "address_2": "PO BOX 727",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322903",
            "telephone_number": "318-878-9058",
            "fax_number": "318-878-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322903",
            "telephone_number": "318-878-9017",
            "fax_number": "318-878-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AMERICAN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRISOCK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "318-878-9058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # RACE ST. CH",
            "identifier": "1718416",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

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.