Deltona Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1125096 Issued in FL

Legal business name

DELTONA HEALTH CARE ASSOCIATES LLC

Practice address

1851 Elkcam Blvd
Deltona, FL 32725-3922

Phone

(386) 789-3769

Fax

(386) 789-6232

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Katherine E. Hilgar

Title

Manager

Phone

(386) 789-3769

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deltona Health Care Doing business as

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1639149180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253922",
            "telephone_number": "386-789-3769",
            "fax_number": "386-789-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253922",
            "telephone_number": "386-789-3769",
            "fax_number": "386-789-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTONA HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "HILGAR",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-789-3769"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1125096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025215800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deltona Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deltona Chiropractic & Advanced Pain Manangement Center LLC
• Deltona Medical Arts Pharmacy Inc
• Deltona Operating LLC
• Deltona Pharmacy of Florida LLC
• Frank Denoff II, CSCS
• Jayshri N Desai, PHARM D

• Skilled Nursing Facility in Deltona, FL
• Providers in Deltona, 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 Aug 2, 2012; 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.