Organization Active NPI

Delta Health Group Inc

  • Skilled Nursing Facility
  • Debary, FL
National Provider Identifier
1497747372
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1123096 Issued in FL
Legal business name
DELTA HEALTH GROUP INC
Practice address
60 N Hwy 17/92
Debary, FL 32713-2518
Phone
(386) 668-4426
Fax
(386) 668-4474
NPI assigned
Aug 17, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Scott J Bell
Title
Ceo President
Phone
(850) 430-0000

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1123096 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

60 N Hwy 17/92
Debary, FL 32713-2518

Mailing address

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

Other names 1

NPPES NPI Registry
  • DeBary Manor Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2007.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1497747372",
    "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": "60 N HWY 17/92",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132518",
            "telephone_number": "386-668-4426",
            "fax_number": "386-668-4474"
        }
    ],
    "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": "SNF1123096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeBary Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Debary, 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.