Provider Demographics
NPI:1073379749
Name:DELTA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DELTA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-747-1530
Mailing Address - Street 1:5600 SPRING MOUNTAIN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8823
Mailing Address - Country:US
Mailing Address - Phone:702-747-1530
Mailing Address - Fax:
Practice Address - Street 1:5600 SPRING MOUNTAIN RD STE 208
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8823
Practice Address - Country:US
Practice Address - Phone:702-747-1530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health