Delta Community Supports, Inc.

Organization Active NPI Community/Behavioral Health Agency · Bound Brook, NJ

NPI 1831570035 · NPPES record last updated Jun 12, 2015

Key facts

NPI
1831570035
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DELTA COMMUNITY SUPPORTS, INC.
Practice address
507 Wheatland Ave FL 1
Apt B
Bound Brook, NJ 08805-1819
Phone
(732) 356-5827
NPI assigned
Jun 12, 2015
Organization subpart
No

Authorized official

Name
David A. Wyher
Title
President/Ceo
Phone
(215) 654-1000

Corporate family (same tax ID) 23

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

National Provider Directory

Tax ID family
Delta Community Supports Inc (85 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Yes
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

507 Wheatland Ave FL 1
Apt B
Bound Brook, NJ 08805-1819

Mailing address

1777 Sentry Pkwy W
Gwynedd Hall, Suite 400
Blue Bell, PA 19422-2207
Phone (215) 654-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2015.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1831570035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W",
            "address_2": "GWYNEDD HALL, SUITE 400",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222207",
            "telephone_number": "215-654-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WHEATLAND AVE FL 1",
            "address_2": "APT B",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051819",
            "telephone_number": "732-356-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "WYHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-654-1000"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

All providers in Bound Brook, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.