Delta Health Group Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12970961 Issued in FL

Legal business name

DELTA HEALTH GROUP INC

Doing business as

Longwood Health Care Center

Practice address

1520 S Grant St
Longwood, FL 32750-6538

Phone

(407) 339-9200

Fax

(407) 339-5032

NPI assigned

Aug 18, 2005

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott J Bell

Title

Ceo President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Longwood Health Care Center Doing business as

Tax ID family

Delta Health Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Delta Health Group Inc

  dba Lake Placid Health Care Center

  • Skilled Nursing Facility
  • Lake Placid, FL
  • NPI 1982696712
  NPD tax ID

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1326030164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025631",
            "telephone_number": "850-430-0000",
            "fax_number": "850-436-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S GRANT ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506538",
            "telephone_number": "407-339-9200",
            "fax_number": "407-339-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12970961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longwood Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Norman Defreese, M.D.
• Aeron Degroat
• Elsa Delepine
• Jhoanna Delgado Palacios
• Elba Elizabeth Della Sala, NBC-HWC
• Demac Healthcare LLC
• Denise Panuccio MD PA
• Alvin Dennis, DMD
• Brooke Dennis, PA-C
• Dental World Inc

• Skilled Nursing Facility in Longwood, FL
• Providers in Longwood, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.