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DELTA HOME CARE LLC. NPI 1861527129


NPI Information

NPI: 1861527129
Provider Name: DELTA HOME CARE, LLC.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3410 HEALY DR
SUITE 213
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-5025
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DELTA HOME CARE, LLC. is a nursing care in Winston Salem, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. DELTA HOME CARE, LLC. NPI is 1861527129. The provider is registered as an organization entity type.

The provider's business location address is:

3410 HEALY DR
SUITE 213
WINSTON SALEM, NC
ZIP 27103-403
Phone: (336) 765-5025
Fax: (336) 765-5024

The provider's authorized official is Julia White Mckoy .
The authorized official title is Agency Director and has the following contact phone number (336) 765-5025.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareHC2385NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16601021MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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