Delta Home Health Inc

Organization Active NPI Home Health Agency · Cleveland, MS

NPI 1982973186 · NPPES record last updated Dec 30, 2011

Key facts

NPI
1982973186
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
2581 (MS)
Legal business name
DELTA HOME HEALTH INC
Practice address
300-B South Street
Cleveland, MS 38732
Phone
(662) 843-7533
Fax
(662) 247-4924
NPI assigned
Dec 19, 2011
Organization subpart
No

Authorized official

Name
Ms. Pamela Redd, RN
Title
VP Clinical Services / Asst. Ceo
Phone
(662) 247-1254

National Provider Directory

Locations

300 South St
#B
Cleveland, MS 38732
Phone (662) 843-3550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2581 MS Yes

Addresses

Primary practice location

300-B South Street
Cleveland, MS 38732

Mailing address

PO Box 373
Belzoni, MS 39038-0373
Phone (662) 247-1254

Other identifiers

IdentifierTypeStateIssuer
00070608MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2011.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1982973186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390380373",
            "telephone_number": "662-247-1254",
            "fax_number": "662-247-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300-B SOUTH STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-843-7533",
            "fax_number": "662-247-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP CLINICAL SERVICES / ASST. CEO",
        "authorized_official_telephone_number": "662-247-1254",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070608",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

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Sources for this page

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