Organization Active NPI

Delta Healthcare II LLC

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1174939243
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL2518 Issued in FL
Legal business name
DELTA HEALTHCARE II LLC
Practice address
4175 E Bay Dr
Clearwater, FL 33764-6985
Phone
(727) 330-7898
Fax
(727) 330-7893
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Kerry Bingaman
Title
Financial Officer
Phone
(727) 639-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL2518 FL Primary

Addresses

Primary practice location

4175 E Bay Dr
Clearwater, FL 33764-6985

Mailing address

4175 E Bay Dr
Clearwater, FL 33764-6985
Phone (727) 330-7898

Other names 1

  • Seasons Largo Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2078094Seasons Largo4175 E Bay Dr, Clearwater, FL 33764Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1174939243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 E BAY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646985",
            "telephone_number": "727-330-7898",
            "fax_number": "727-330-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 E BAY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646985",
            "telephone_number": "727-330-7898",
            "fax_number": "727-330-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTHCARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BINGAMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-639-1102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons Largo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.