NPIMap

Organization Active NPI

Delta American Healthcare, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Delhi, LA
National Provider Identifier
1821113853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
602 Issued in LA
Legal business name
DELTA AMERICAN HEALTHCARE, INC
Practice address
119 Broadway St
Delhi, LA 71232-2903
Phone
(318) 878-9017
Fax
(318) 878-2585
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Jesse Prisock
Title
Accountant
Phone
(318) 878-9058

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
Delta American Healthcare Inc (21 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 602 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

119 Broadway St
Delhi, LA 71232-2903

Mailing address

115 Broadway St
PO Box 727
Delhi, LA 71232-2903
Phone (318) 878-9058

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1718530OtherLAPROVIDER # DELHI CH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821113853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADWAY ST",
            "address_2": "PO BOX 727",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322903",
            "telephone_number": "318-878-9058",
            "fax_number": "318-878-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322903",
            "telephone_number": "318-878-9017",
            "fax_number": "318-878-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AMERICAN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRISOCK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "318-878-9058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # DELHI CH",
            "identifier": "1718530",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, 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.