DELTA HEALTH CENTER, INC (NPI# 1033255245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033255245 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH CENTER, INC |
| Other Organization Name | DELTA COMMUNITY HOME HEALTH AGENCY |
| Practice Address |
702 Martin Luther King St Mound Bayou MS 38762-9314 |
| Mailing Address |
702 Martin Luther King St P. O. Box 900 Mound Bayou MS 38762-9314 |
| Practice Telephone | 6627412906 |
| Practice Fax Number | 6627413492 |
| Mailing Telephone | 6627412906 |
| Mailing Fax Number | 6627413492 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SEYMOUR MITCHELL (CEO) |
| Authorized Official Telephone | 6627412151 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2581 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00070608 | 05 |
| Other Name | Type Code |
|---|---|
| Delta Community Home Health Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| 1881240752 | Delta Health Center, Inc | Clinic/Center | 404 Jefferson St, Indianola, MS 38751-3265 | 2019-08-15 |
| 1477890911 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2013-01-03 |
| 1285951970 | Delta Health Center, Inc | Clinic/Center | 548 Rosemary Road, Cleveland, MS 38732-2075 | 2010-04-21 |
| 1194800656 | Delta Health Center, Inc | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-10-25 |
| Street Address |
702 MARTIN LUTHER KING ST |
| City | MOUND BAYOU |
| State | MS |
| Zip Code | 38762-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104848787 | Delta Health Center | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-07-24 |
| 1053921320 | Sarah Shepherd | Counselor | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2020-08-03 |
| 1043841067 | Anthony Louis Oliveri | Physical Medicine & Rehabilitation | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2020-01-29 |
| 1295290872 | Laura Grant | Clinical Exercise Physiologist | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2019-02-07 |
| 1730602806 | Simone Shardae Williams Moore | Pediatrics | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2017-07-20 |
| 1467999318 | Kirsten Westerfield | Dietitian, Registered | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2017-01-30 |
| 1477090728 | Meta H Anderson | Nurse Practitioner | 702 Martin Luther King St, Pob 900, Mound Bayou, MS 38762-9314 | 2017-01-25 |
| 1124474648 | Natural Pain Back Institute, LLC | Chiropractor | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2016-05-13 |
| 1285041038 | Ronsheka A Palmer | Nurse Practitioner | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2014-07-14 |
| 1831523620 | Alyssa Lott Simmons | Nurse Practitioner | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2013-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1629310487 | Community Adult Day Care | Clinic/Center | 114 S Edwards Avenue, Mound Bayou, MS 38762 | 2013-03-20 |
| 1235482233 | Melvern Scott Jr. | Social Worker | 109 Rayner Rd, Mound Bayou, MS 38762 | 2012-10-16 |
| 1063692770 | Allison Hailman Doyle | Family Medicine | 702 Mlk St, Mound Bayou, MS 38762 | 2007-11-09 |
| 1578785820 | Mound Bayou Public Schools | Registered Nurse | 202 Mlk, Mound Bayou, MS 38762 | 2007-05-03 |
| 1700923836 | Delta Health Center | Clinic/Center | 702 Martin Luther King Rd, Mound Bayou, MS 38762 | 2007-01-30 |
| 1649363656 | Ki M Chang | Internal Medicine | 7165 Getwell Road, Bldg F, Southaven, MS 38762 | 2006-10-02 |
| 1689033706 | North Bolivar Consolidated School District | Local Education Agency (LEA) | 201 Green St, Mound Bayou, MS 38762 | 2016-02-17 |
| 1144398710 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762 | 2006-12-01 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| Find all providers in zip 38762 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1174122733 | Blessing Hearts Private Duty Home Care LLC | Home Health | 105 N Cherry St, Tylertown, MS 39667-2308 | 2020-10-23 |
| 1568061406 | True Alliance Home Healthcare, LLC | Home Health | 6950 Dakota Cir S, Olive Branch, MS 38654-9064 | 2020-10-21 |
| 1043818925 | Home In The Heart Health Care Agency, LLC | Home Health | 5915 Brice Cv N, Olive Branch, MS 38654-3529 | 2020-10-13 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1760089346 | Natasha Turner | Home Health | 224 Cedar St, Kosciusko, MS 39090-4504 | 2020-10-06 |
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023620887 | Porsche Ann Walley | Home Health | 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 | 2020-08-21 |
| 1750993358 | Tab, LLC | Home Health | 785 Creston Dr, Byram, MS 39272-3001 | 2020-08-17 |
| 1740891506 | Trucare Sitters LLC | Home Health | 908 Bickerstaff St, Tupelo, MS 38801-6802 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | MOUND BAYOU |
| Zip Code | 38762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.