Delta Valley Development Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DELTA VALLEY DEVELOPMENT CORP

Practice address

201 Basket Street
Itta Bena, MS 38941

Phone

(662) 704-5037

Fax

(662) 704-5008

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Viola McCaskill

Title

Owner

Phone

(662) 704-5037

Specialties & licenses 1

Addresses

Other names 1

• DELTA VALLEY DEVELOPMENT CORP Former legal business name

Tax ID family

Delta Valley Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Delta Valley Development Corp #2

  • Adult Day Care Clinic/Center
  • Belzoni, MS
  • NPI 1649642075
  NPD tax ID

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1821482548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 427",
            "address_2": "201 BASKET STREET",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "38941",
            "telephone_number": "662-704-5037",
            "fax_number": "662-704-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BASKET STREET",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "38941",
            "telephone_number": "662-704-5037",
            "fax_number": "662-704-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA VALLEY DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-704-5037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELTA VALLEY DEVELOPMENT CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Day Care Clinic/Center in Itta Bena, MS
• Providers in Itta Bena, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.