Delta Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DELTA REHABILITATION CENTER

Practice address

1705 Terrace Ave
Snohomish, WA 98290-1914

Phone

(360) 568-2168

Fax

(360) 568-5547

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wallace J Walsh

Title

Administrator

Phone

(360) 568-2168

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Snohomish Chalet Other name

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205820669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 TERRACE AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901914",
            "telephone_number": "360-568-2168",
            "fax_number": "360-568-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 TERRACE AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901914",
            "telephone_number": "360-568-2168",
            "fax_number": "360-568-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-568-2168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4154506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snohomish Chalet",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darleen Davis, ATC
• Jason C Davis, P.A. -C
• Lily Kathleen Dean, CCC-SLP
• Megan Dear
• Britteny Delaney, MA60581863
• Allison Marie Demmon, L.M.P.
• Alyxandra Dempsey
• Melissa A. Denmark, LM
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Bickford Family Dental Care)
• Anup Deol, OD

• Skilled Nursing Facility in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Skilled Nursing Facility in Washington

• 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.