Organization Active NPI

Delta Home Care, Inc.

  • Home Health Agency
  • Tallulah, LA
National Provider Identifier
1699739433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
153 Issued in LA
Legal business name
DELTA HOME CARE, INC.
Practice address
9 Crothers Dr
Tallulah, LA 71282-5509
Phone
(318) 574-5700
Fax
(318) 574-5356
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sarah Charlynne Paxton
Title
Administrator
Phone
(318) 574-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 153 LA Primary

Addresses

Primary practice location

9 Crothers Dr
Tallulah, LA 71282-5509

Mailing address

PO Box 392
9 Crothers Drive
Tallulah, LA 71284-0392
Phone (318) 574-5700

Other identifiers 1

IdentifierTypeStateIssuer
1401218MedicaidLA

National Provider Directory

National Provider Directory

Locations

500 Lake St
Ste C
Lake Providence, LA 71254
Phone (318) 559-0015

9 Crothers Dr
Tallulah, LA 71282
Phone (318) 574-5700

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699739433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "address_2": "9 CROTHERS DRIVE",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712840392",
            "telephone_number": "318-574-5700",
            "fax_number": "318-574-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CROTHERS DR",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825509",
            "telephone_number": "318-574-5700",
            "fax_number": "318-574-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAXTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CHARLYNNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-574-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401218",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.