Active NPI
Delta Health Group Inc
- Skilled Nursing Facility
- Monticello, FL
National Provider Identifier
1679565253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF10680961
- Legal business name
- DELTA HEALTH GROUP INC
- Practice address
- 1656 S Jefferson
Monticello, FL 32344-1652 - Phone
- (850) 997-1800
- Fax
- (850) 997-7269
- NPI assigned
- Aug 18, 2005
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF10680961 | FL | Primary |
Addresses
Primary practice location
1656 S Jefferson
Monticello, FL 32344-1652
Mailing address
2 N Palafox St
Pensacola, FL 32502-5631
Phone (850) 430-0000
Other names 1
- Brynwood Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1679565253",
"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": "1656 S JEFFERSON",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323441652",
"telephone_number": "850-997-1800",
"fax_number": "850-997-7269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2008-02-06",
"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": "SNF10680961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brynwood Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monticello, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.