Organization Active NPI

Delma'S Adult Family Care Home

  • Community Health Worker
  • Lehigh Acres, FL
National Provider Identifier
1891155362
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
6906816 Issued in FL
Legal business name
DELMA'S ADULT FAMILY CARE HOME
Practice address
1001 Clayton Ave
Lehigh Acres, FL 33972-7405
Phone
(239) 369-2624
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Delma GreyNPI 1710433156
Title
Administrator
Phone
(239) 369-2624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X 6906816 FL Primary

Addresses

Primary practice location

1001 Clayton Ave
Lehigh Acres, FL 33972-7405

Mailing address

1001 Clayton Ave
Lehigh Acres, FL 33972-7405
Phone (239) 369-2624

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1891155362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLAYTON AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727405",
            "telephone_number": "239-369-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLAYTON AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727405",
            "telephone_number": "239-369-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMA'S ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "DELMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-369-2624"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "6906816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.