NPIMap

Organization Active NPI

Delta Community Supports, Inc.

  • Community/Behavioral Health Agency
  • Millville, NJ
National Provider Identifier
1114309697
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DELTA COMMUNITY SUPPORTS, INC.
Practice address
25 S Ladow Ave
Apt #9a
Millville, NJ 08332-1489
Phone
(856) 825-2268
NPI assigned
Jun 22, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David A. Wyher
Title
President/Ceo
Phone
(215) 654-1000

Corporate family (same tax ID) 22

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

National Provider Directory

National Provider Directory
Tax ID family
Delta Community Supports Inc (85 organizations share this tax ID)

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

NPPES NPI Registry

Primary practice location

25 S Ladow Ave
Apt #9a
Millville, NJ 08332-1489

Mailing address

1777 Sentry Pkwy W
Gwynedd Hall, Suite 400
Blue Bell, PA 19422-2207
Phone (215) 654-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2015.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1114309697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W",
            "address_2": "GWYNEDD HALL, SUITE 400",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222207",
            "telephone_number": "215-654-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S LADOW AVE",
            "address_2": "APT #9A",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321489",
            "telephone_number": "856-825-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "WYHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-654-1000"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.