DELTA MEDICAL SERVICES (NPI# 1154508364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154508364 |
| Entity Type | Organization |
| Organization Name | DELTA MEDICAL SERVICES |
| Practice Address |
1800 Buckner St Suite B210 Shreveport LA 71101-4440 |
| Practice Telephone | 3184591600 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | DORIS MITCHELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 3184591600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | 11385 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1172367 | 05 | |
| LA | 1369403 | 05 | |
| LA | 1566331 | 05 | |
| LA | 1368431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437329604 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-04 |
| 1639349681 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-06 |
| 1275703225 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-06 |
| Street Address |
1800 BUCKNER ST SUITE B210 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972559 | Arnold E Barz | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2005-09-19 |
| 1538488028 | Mary Mladenka-dowden | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2010-05-23 |
| 1164654646 | Audrey Rachal Smith | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2009-08-17 |
| 1972741197 | Brittany M Jellum | Physical Therapy Assistant | 1800 Buckner St, Suite C 200, Shreveport, LA 71101-4440 | 2009-01-26 |
| 1740465798 | Zulqarnain Abro | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2008-01-08 |
| 1356524078 | Shawna Woods Chumley | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-12-17 |
| 1316120512 | Kathy Kelley Hughes | Speech-Language Pathologist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-12-11 |
| 1952582991 | The Center for Therapy Pediatric Therapy Services | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-11-19 |
| 1932380961 | Molly C Wierick | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-11-19 |
| 1992985584 | Leslie Dawn Armstrong | Physical Therapist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831369420 | Lovin Hands Care Service LLC | PACE Provider Organization | 5700 Roberts St Ste A, Shreveport, LA 71109-7540 | 2008-03-10 |
| 1437329604 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-04 |
| 1306055124 | People First Outreach Inc | PACE Provider Organization | 820 Jordan St Ste 215, Shreveport, LA 71101-4519 | 2007-05-21 |
| 1770757155 | People First Outreach Inc. | PACE Provider Organization | 820 Jordan St Ste 215, Shreveport, LA 71101-4519 | 2008-04-17 |
| 1871766485 | People First Outreach Inc | PACE Provider Organization | 820 Jordan St, Suite 460, Shreveport, LA 71101-4518 | 2008-04-04 |
| 1639349681 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-06 |
| 1275703225 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St Ste B210, Shreveport, LA 71101-4438 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021293 | Blessed Life Health Services | PACE Provider Organization | 2273 Barataria Blvd Ste 1&2, Marrero, LA 70072-5456 | 2019-06-06 |
| 1962984120 | Caring Hands Home Health and Hospice, LLC | PACE Provider Organization | 4238 Poche Ct W Ste A, New Orleans, LA 70129-2222 | 2018-09-05 |
| 1659767713 | Dustin Dorsey | PACE Provider Organization | 203 Hallmark Ave, Lafayette, LA 70508-7766 | 2015-04-15 |
| 1942629589 | Azalea Medical, L.L.C. | PACE Provider Organization | 3305 Metairie Rd., Ste. 1, Metairie, LA 70001 | 2014-04-10 |
| 1922384312 | J. Allen Investment LLC | PACE Provider Organization | 42573 Pleasant Ridge Road Ext, Ponchatoula, LA 70454-4764 | 2011-10-29 |
| 1568773299 | Luci,s Troop Ltc LLC | PACE Provider Organization | 111 Rubria St, Lafayette, LA 70501-1735 | 2010-06-28 |
| 1497981724 | Live To Assist, LLC | PACE Provider Organization | 1065 Beechwood Dr, Harvey, LA 70058-4330 | 2009-06-01 |
| 1619102258 | Gloria Phillips | PACE Provider Organization | 108 Wayne St, Pineville, LA 71360-6733 | 2009-05-27 |
| 1386880359 | Daily Care Inc | PACE Provider Organization | 85 Langford St, Monroe, LA 71202-6045 | 2008-12-23 |
| 1124276068 | Martin Family Support Services | PACE Provider Organization | 248 Blankenship, 248 Blankenship, Plain Dealing, LA 71064 | 2008-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.