Organization Active NPI

Delta Regional Holdings LLC

  • Skilled Nursing Facility
  • Dublin, GA
National Provider Identifier
1780968107
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DELTA REGIONAL HOLDINGS LLC
Practice address
1634 Telfair St
Dublin, GA 31021-3115
Phone
(478) 272-1133
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Ms. Lynda S. Hebbeln
Title
Cfo
Phone
(727) 723-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1634 Telfair St
Dublin, GA 31021-3115

Mailing address

1634 Telfair St
Dublin, GA 31021-3115
Phone (478) 272-1133

Other names 1

  • Shamrock Nursing & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1634 Telfair St
Dublin, GA 31021
Phone (478) 272-1133

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1780968107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213115",
            "telephone_number": "478-272-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213115",
            "telephone_number": "478-272-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REGIONAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HEBBELN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-723-3021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamrock Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.