NPIMap

Organization Active NPI

Delta American Helathcare, Inc

  • In Home Supportive Care Agency
  • Delhi, LA
National Provider Identifier
1174648109
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DELTA AMERICAN HELATHCARE, INC
Practice address
119 Broadway St
Delhi, LA 71232-2903
Phone
(318) 878-9011
Fax
(318) 878-2585
NPI assigned
Mar 20, 2007
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mr. Randall Watts
Title
Administrator
Phone
(318) 878-9017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU 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
1671851OtherLAPROVIDER # SIL PCA

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": "1673481600000",
    "number": "1174648109",
    "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": "318-878-9011",
            "fax_number": "318-878-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AMERICAN HELATHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-878-9017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # SIL PCA",
            "identifier": "1671851",
            "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 Jan 12, 2023; 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.