Delta Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DELTA HOME CARE LLC

Practice address

1923 Beacon Ridge Way
Van Buren, AR 72956-6125

Phone

(479) 222-5087

Fax

(949) 561-4703

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohd Dzaidi Mohd Daud

Title

Ambr

Phone

(479) 353-2368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1982481511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 BEACON RIDGE WAY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566125",
            "telephone_number": "479-222-5087",
            "fax_number": "949-561-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 BEACON RIDGE WAY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566125",
            "telephone_number": "479-222-5087",
            "fax_number": "949-561-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "MOHD DAUD",
        "authorized_official_first_name": "MOHD DZAIDI",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "479-353-2368"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.