Delta Health Group Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1501096 Issued in FL

Legal business name

DELTA HEALTH GROUP INC

Doing business as

Silvercrest Manor

Practice address

103 Ruby LN
Crestview, FL 32539-7341

Phone

(850) 682-1903

Fax

(850) 682-8689

NPI assigned

Aug 17, 2005

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

• Silvercrest Manor Doing business as

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1407848294",
    "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": "103 RUBY LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397341",
            "telephone_number": "850-682-1903",
            "fax_number": "850-682-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-12-05",
        "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": "SNF1501096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silvercrest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Dayton
• Caitlin Deems, PT, DPT, ATC
• Scott Tristan Delaney, CPHT
• Dominique Deleon
• Valerie Lynn Dellocono, DPT
• Ivonne Delvalle
• Dennis a Stewart MD PA
• Hal J. Densman, PHARMD
• Anne Denys, M.D.
• Patrice Dixon, MSW, RCSWI

• Skilled Nursing Facility in Crestview, FL
• Providers in Crestview, 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 Dec 5, 2007; 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.