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
National Provider Directory
- Tax ID family
- Delta Community Supports Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Evan Curry
- Jeffrey C Danco
- Ujjwal Kumar Datta
- Delta Community Supports, Inc.
- Delta Community Supports, Inc.
- Delta Community Supports, Inc.
- Dental Excel P.a.
- Nicole Depaco
- Lorraine Francis Depass
- Devereux Foundation
All providers in Bound Brook, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.