Organization Active NPI

Delta Health Group Inc

  • Skilled Nursing Facility
  • Eustis, FL
National Provider Identifier
1477545275
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF2710951 Issued in FL
Legal business name
DELTA HEALTH GROUP INC
Practice address
411 W Woodward Ave
Eustis, FL 32726-4554
Phone
(352) 357-3565
Fax
(352) 357-2874
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF2710951 FL Primary

Addresses

Primary practice location

411 W Woodward Ave
Eustis, FL 32726-4554

Mailing address

2 N Palafox St
Pensacola, FL 32502-5631
Phone (850) 430-0000

Other names 1

  • Lake Eustis Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1477545275",
    "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": "411 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264554",
            "telephone_number": "352-357-3565",
            "fax_number": "352-357-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-08-22",
        "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": "SNF2710951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Eustis Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.