Organization Active NPI

Delta Nursing & Rehabilitation Hospital, Inc.

Doing business as Delta Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Visalia, CA
National Provider Identifier
1942301627
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120000558 Issued in CA
Legal business name
DELTA NURSING & REHABILITATION HOSPITAL, INC.
Doing business as
Delta Nursing & Rehabilitation Center
Practice address
420 E Murray Ave
Visalia, CA 93291-5053
Phone
(559) 625-4003
Fax
(559) 625-4113
NPI assigned
Sep 26, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mr. Mark Allan Fisher
Title
President
Phone
(559) 625-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 120000558 CA Primary

Addresses

Primary practice location

420 E Murray Ave
Visalia, CA 93291-5053

Mailing address

514 N Bridge St
Visalia, CA 93291-5015
Phone (559) 732-8614

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05648IMedicaidCA

Other names 1

  • DELTA NURSING & REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1942301627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N BRIDGE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915015",
            "telephone_number": "559-732-8614",
            "fax_number": "559-732-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MURRAY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915053",
            "telephone_number": "559-625-4003",
            "fax_number": "559-625-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA NURSING & REHABILITATION HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-625-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05648I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELTA NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.