Delta Health Group Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1608096 Issued in FL

Legal business name

DELTA HEALTH GROUP INC

Doing business as

Windsor Manor

Practice address

602 Laura St
Starke, FL 32091-4026

Phone

(904) 964-3383

Fax

(904) 964-6621

NPI assigned

Aug 17, 2005

Last updated

Aug 22, 2007By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Windsor Manor Doing business as

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1710979513",
    "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": "602 LAURA ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914026",
            "telephone_number": "904-964-3383",
            "fax_number": "904-964-6621"
        }
    ],
    "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": "SNF1608096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creating Communication, Inc.
• Talisha H Cunningham, D.M.D.
• Jennifer Faith Darley, M.A.,CCC-SLP
• Norma Jean Davis, ARNP
• John Decerce, MD
• Sara Ann Denmark
• Eleanor W Devost
• Jenny Maria Dodson, PA-C
• Matthew Douglas, PHARMD
• Kimberly Dudley, BS, MBM, MS

• Skilled Nursing Facility in Starke, FL
• Providers in Starke, 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 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.