DELTA HEALTH GROUP INC (NPI# 1285626150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285626150 |
| Entity Type | Organization |
| Organization Name | DELTA HEALTH GROUP INC |
| Other Organization Name | WILLOW TRACE NURSING CENTER |
| Practice Address |
1406 E Pushmataha St Butler AL 36904-2728 |
| Mailing Address |
2 N Palafox St Pensacola FL 32502-5631 |
| Practice Telephone | 2054595506 |
| Practice Fax Number | 2054595503 |
| Mailing Telephone | 8504300000 |
| Mailing Fax Number | 8504366766 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | SCOTT J BELL (CEO PRESIDENT) |
| Authorized Official Telephone | 8504300000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10483 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 47-51060S | 05 |
| Other Name | Type Code |
|---|---|
| Willow Trace Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346232766 | Delta Health Group Inc | Skilled Nursing Facility | 1017 Strong Rd, Quincy, FL 32351-5249 | 2005-08-22 |
| 1932191566 | Delta Health Group Inc | Skilled Nursing Facility | 1100 N Pine St, Clearwater, FL 33756-4104 | 2005-08-19 |
| 1326030164 | Delta Health Group Inc | Skilled Nursing Facility | 1520 S Grant St, Longwood, FL 32750-6538 | 2005-08-18 |
| 1992797773 | Delta Health Group Inc | Skilled Nursing Facility | 1700 Monroe Ave, Maitland, FL 32751-6672 | 2005-08-18 |
| 1396737045 | Delta Health Group Inc | Skilled Nursing Facility | 390 Ne 135th St, North Miami, FL 33161-3967 | 2005-08-18 |
| 1558353318 | Delta Health Group Inc | Skilled Nursing Facility | 4801 Se Cove Rd, Stuart, FL 34997-1602 | 2005-08-18 |
| 1043202716 | Delta Health Group Inc | Skilled Nursing Facility | 1255 Ne 135th St, North Miami, FL 33161-4312 | 2005-08-18 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1083606859 | Delta Health Group Inc | Skilled Nursing Facility | 5951 Colonial Dr, Margate, FL 33063-5661 | 2005-08-18 |
| 1982696712 | Delta Health Group Inc | Skilled Nursing Facility | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2005-08-18 |
| Street Address |
1406 E PUSHMATAHA ST |
| City | BUTLER |
| State | AL |
| Zip Code | 36904-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366083073 | Butler Health and Rehab LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2019-10-03 |
| 1942711304 | Blue Ridge Healthcare Willow Trace LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2017-10-12 |
| 1669882858 | Bernita Mccants Md LLC | Family Medicine | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2014-04-28 |
| 1205096500 | Al Willow Tree, LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2008-06-11 |
| 1598984080 | Eldon Wayne Crouch | Occupational Therapy Assistant | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2007-04-24 |
| 1417045337 | Bernita Michele Finley Mims | Family Medicine | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1043360233 | Joseph M Moody | Dentist | 505 E Pushmataha Street, Butler, AL 36904 | 2007-01-11 |
| 1811268592 | Rush Hospital/butler,inc | Emergency Medicine | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-26 |
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| 1487739314 | Louis Keith Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-0678 | 2006-10-26 |
| 1164859583 | Mustard Seed Companion Care | In Home Supportive Care | 702 Stevens Rd, Butler, AL 36904-2151 | 2013-09-30 |
| 1730111766 | Freds Stores of Tennessee Inc | Pharmacy | 307 N Mulberry Ave, Butler, AL 36904-2203 | 2006-07-07 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1558445999 | Jimmy Cleveland White | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2006-10-24 |
| 1962737916 | W Britt Morris, Dmd PC | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2009-10-08 |
| Find all providers in zip 36904 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255880530 | Angela Hoffman | Skilled Nursing Facility | 206 Simon Dr, Butler, PA 16002-9153 | 2016-09-27 |
| 1285848259 | Janell Kawka | Skilled Nursing Facility | C31 Forest Hts, Butler, PA 16001-3983 | 2007-05-09 |
| 1487743266 | County of Butler | Skilled Nursing Facility | 107 Sunnyview Cir, Butler, PA 16001-3599 | 2006-10-12 |
| 1437247053 | Medicalodges, Inc. | Skilled Nursing Facility | 103 E Nursery St, Butler, MO 64730-2331 | 2006-10-10 |
| 1235171174 | Taylor County Health Care LLC | Skilled Nursing Facility | 165 S Broad St, Butler, GA 31006-5526 | 2006-06-12 |
| 1891736690 | Heartland-willow Lane of Butler Mo LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730-1827 | 2006-06-10 |
| 1164422945 | Butler Rest Home, Inc | Skilled Nursing Facility | 305 Taylor Ln, Butler, KY 41006-8550 | 2005-07-22 |
| 1366083073 | Butler Health and Rehab LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2019-10-03 |
| 1942711304 | Blue Ridge Healthcare Willow Trace LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2017-10-12 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| Find all providers in BUTLER | ||||
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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.