Provider Demographics
NPI:1568908655
Name:DELTA HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:DELTA HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:REINKING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-522-9442
Mailing Address - Street 1:2534 STATE ST #440
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101
Mailing Address - Country:US
Mailing Address - Phone:858-522-9442
Mailing Address - Fax:858-408-4221
Practice Address - Street 1:2534 STATE ST #440
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:858-522-9442
Practice Address - Fax:858-408-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health