NPIMap

Delta Community Supports, Inc.

Organization Active NPI Community/Behavioral Health Agency · Millville, NJ

NPI 1992212906 · NPPES record last updated Dec 29, 2017

Key facts

NPI
1992212906
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DELTA COMMUNITY SUPPORTS, INC.
Practice address
26 N Ladow Ave Apt 15B
Millville, NJ 08332-1431
Phone
(856) 293-1622
NPI assigned
Dec 29, 2017
Organization subpart
No

Authorized official

Name
Sarah Ann Smith-Clewell
Title
Assistant Cost Accountant
Phone
(215) 654-1000

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Delta Community Supports Inc (85 organizations share this tax ID)

Locations

1777 Sentry Pkwy W
#14
Blue Bell, PA 19422

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Yes
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

26 N Ladow Ave Apt 15B
Millville, NJ 08332-1431

Mailing address

1777 Sentry Pkwy W # Veva14
Blue Bell, PA 19422-2207
Phone (215) 654-1000

Other identifiers

IdentifierTypeStateIssuer
0486612OtherNJDDD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2017.

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1992212906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W # VEVA14",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222207",
            "telephone_number": "215-654-1000",
            "fax_number": "215-641-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N LADOW AVE APT 15B",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321431",
            "telephone_number": "856-293-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH-CLEWELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT COST ACCOUNTANT",
        "authorized_official_telephone_number": "215-654-1000"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDD",
            "identifier": "0486612",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

All providers in Millville, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.