NPIMap

Organization Active NPI

Memorial Hospital-West Volusia Inc

Doing business as AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
National Provider Identifier
1649367269
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4436 Issued in FL
Legal business name
MEMORIAL HOSPITAL-WEST VOLUSIA INC
Doing business as
AdventHealth DeLand
Florida Hospital DeLand
Practice address
701 W. Plymouth Avenue
Deland, FL 32720-3236
Phone
(386) 943-4522
Fax
(386) 943-3674
NPI assigned
Oct 6, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Jonathan Armstrong
Title
Cfo
Phone
(407) 497-8195

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 4436 FL Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

701 W. Plymouth Avenue
Deland, FL 32720-3236

Mailing address

770 W Granada Blvd Ste 203
Ormond Beach, FL 32174-5179
Phone (386) 943-4522

Other names 2

  • AdventHealth DeLand Doing business as
  • Florida Hospital DeLand Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060131000428 FL Part A Provider - Hospital 5991763724 Practice locations: Deland, FL; Orange City, FL
O20220825002370 FL Part B Supplier - Intensive Cardiac Rehabilitation 5991763724 Practice locations: Deland, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649367269. Details of each certification follow.

Hospital certification: CCN 100045

Legal name
MEMORIAL HOSPITAL-WEST VOLUSIA INC
Doing business as
ADVENTHEALTH DELAND
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 17, 2019
Beds
170
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 16, 1994 in FL
Enrollment address
701 W Plymouth Ave
Deland, FL 32720-3236
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventhealth DelandCCN 100045 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Florida Hospital Healthcare Partners Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1015 N Stone St
Ste A
Deland, FL 32720
Phone (386) 337-7750

141 E Pennsylvania Ave
Deland, FL 32724
Phone (386) 740-7748

151 Victoria Commons Blvd
Ste 100
Deland, FL 32724
Phone (386) 740-4020

151 Victoria Commons Blvd
Ste 101
Deland, FL 32724
Phone (386) 943-4682

151 Victoria Commons Blvd
Ste 106
Deland, FL 32724
Phone (386) 740-4040

151 Victoria Commons Blvd
Ste 107
Deland, FL 32724
Phone (386) 943-4690

225 S Woodland Blvd
Ste 109
Deland, FL 32720
Phone (386) 943-3093

777 Deltona Blvd
Ste 2
Deltona, FL 32725
Phone (386) 860-3791

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 36

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Debora H Thomas Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Corporate DirectorDirector Aug 21, 2025
Doreen Courtheyn Individual Corporate DirectorDirector Dec 6, 2012
Douglas Hilliard Individual Corporate OfficerAssistant Secretary Aug 21, 2025
Corporate DirectorDirector Aug 21, 2025
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Diane Godfrey Individual Corporate OfficerAssistant Secretary Jan 1, 2026
Savannah-Jane Griffin Individual Corporate DirectorDirector Jan 1, 2026
Robert Deininger Individual Corporate OfficerAssistant Secretary, Chair Aug 21, 2025
Corporate DirectorDirector Jun 13, 2025
Christopher S Dibello Individual Corporate DirectorDirector Dec 9, 2021
Michael J Woods Individual Corporate DirectorDirector Jan 1, 2020
Marisa Farabaugh Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Michael Saunders Individual Corporate OfficerAssistant Secretary Sep 14, 2017
Khelsea Bauer Individual Contracted Managing Employee Feb 23, 2025
Corporate OfficerPresident, Secretary Aug 21, 2025
Corporate DirectorDirector Feb 23, 2025
Operational/Managerial ControlCeo Feb 23, 2025
Matthew Maniscalco Individual Corporate DirectorDirector Apr 9, 2026
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Oct 1, 2000 100%
Amanda Brady Individual Corporate OfficerAssistant Secretary Feb 27, 2020
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 25, 2022
Haney Vincent Individual Corporate OfficerAssistant Secretary Aug 21, 2025
Jonathan Armstrong Individual Contracted Managing Employee May 5, 2024
Corporate OfficerTreasurer Aug 21, 2025
Operational/Managerial ControlCfo May 5, 2024
Barbara Girtman Individual Corporate DirectorDirector Jan 1, 2024
Elizabeth Skomp Individual Corporate DirectorDirector Apr 9, 2026
Douglas Pytlinski Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Todd a Goodman Individual Corporate OfficerAssistant Secretary Sep 14, 2017
Lorenzo Brown Individual Corporate OfficerVice Chair, Secretary Aug 21, 2025
Corporate DirectorDirector Dec 8, 2016
Chojaa Ghosn Individual Corporate DirectorDirector Aug 24, 2023
David L Huffman Individual Corporate OfficerAssistant Secretary Feb 27, 2020
Albert L Bouie Individual Corporate DirectorDirector Dec 9, 2021
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Justin J McNamee Individual Corporate DirectorDirector Jan 1, 2026
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Aug 18, 2005
Randall Haffner Individual Corporate DirectorDirector Aug 21, 2025
William Flowers Individual Corporate DirectorDirector Mar 1, 2007
Memorial Health Systems Inc Organization, Daytona Beach, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 28, 1994 100%
Sue-Ellen Elizabeth Griffith Individual Corporate DirectorDirector Aug 24, 2023
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025
Adventist Health System Sunbelt Inc Organization, Altamonte Springs, FL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2000 100%
Eric Lunde Individual Corporate DirectorDirector Aug 24, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 88

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 88

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

Affiliated clinicians 762

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 762

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1649367269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179",
            "telephone_number": "386-943-4522",
            "fax_number": "386-943-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W. PLYMOUTH AVENUE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203236",
            "telephone_number": "386-943-4522",
            "fax_number": "386-943-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL-WEST VOLUSIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-497-8195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4436",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Windsor Mill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AdventHealth DeLand",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital DeLand",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.