Delta Home Care, LLC.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC2385 Issued in NC

Legal business name

DELTA HOME CARE, LLC.

Practice address

3410 Healy Dr
Suite 213
Winston Salem, NC 27103-1403

Phone

(336) 765-5025

Fax

(336) 765-5024

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julia White McKoy

Title

Agency Director

Phone

(336) 765-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1861527129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 213",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-765-5025",
            "fax_number": "336-765-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 213",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-765-5025",
            "fax_number": "336-765-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-765-5025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601021",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Donaldo Delgado, PHARMD
• Kesah Lynn Delisio, MD
• Diane Leadbetter Dellaero, CRNA
• Carrie C. Delong, PA
• Reagan Delpapa
• Kelly Mollie Demichael-Dobias, MD
• Cameron Paul Demott
• Leslie Dempsey, LCMHC, LCAS
• Crystal Rein Denison, MMS, PA-C
• Nancy Marie Denizard-Thompson, MD

• Nursing Care Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.