NPIMap

Organization Active NPI

Delta Community Supports, Inc.

  • Community/Behavioral Health Agency
  • Toms River, NJ
National Provider Identifier
1407363450
Registry record updated Dec 29, 2017
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
111 Promise Ave
Toms River, NJ 08755-1547
Phone
(732) 363-5038
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Sarah Ann Smith-Clewell
Title
Assistant Cost Accountant
Phone
(215) 654-1000

Specialties & licenses 3

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

Addresses

Primary practice location

111 Promise Ave
Toms River, NJ 08755-1547

Mailing address

1777 Sentry Pkwy W # Veva14
Blue Bell, PA 19422-2207
Phone (215) 654-1000

Other identifiers 1

IdentifierTypeStateIssuer
0486612OtherNJDDD

National Provider Directory

National Provider Directory
Tax ID family
Delta Community Supports Inc85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1777 Sentry Pkwy W
#14
Blue Bell, PA 19422

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1407363450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W # VEVA14",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222207",
            "telephone_number": "215-654-1000",
            "fax_number": "215-641-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROMISE AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551547",
            "telephone_number": "732-363-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH-CLEWELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT COST ACCOUNTANT",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDD",
            "identifier": "0486612",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.