Organization Active NPI

Delmax Healthcare Agency, Inc.

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1740343540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3340 Issued in NC
Legal business name
DELMAX HEALTHCARE AGENCY, INC.
Practice address
201 W Main St
Suite 202B
Durham, NC 27701-3228
Phone
(919) 688-0971
Fax
(919) 688-0976
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Delores Maxine Passmore, LPN
Title
Administrator
Phone
(919) 688-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3340 NC Primary

Addresses

Primary practice location

201 W Main St
Suite 202B
Durham, NC 27701-3228

Mailing address

201 W Main St
Suite 202B
Durham, NC 27701-3228
Phone (919) 688-0971

Other identifiers 1

IdentifierTypeStateIssuer
6601487MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Delmax Healthcare Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

201 W Main St
Ste 202B
Durham, NC 27701
Phone (919) 688-0971

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740343540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE 202B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228",
            "telephone_number": "919-688-0971",
            "fax_number": "919-688-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE 202B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228",
            "telephone_number": "919-688-0971",
            "fax_number": "919-688-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAX HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASSMORE",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-688-0971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

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.