Provider Demographics
NPI:1831637289
Name:DELTA HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:DELTA HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/COO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIAMALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-363-5002
Mailing Address - Street 1:14726 RAMONA AVE
Mailing Address - Street 2:200
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5730
Mailing Address - Country:US
Mailing Address - Phone:844-363-5002
Mailing Address - Fax:844-739-0051
Practice Address - Street 1:14726 RAMONA AVE
Practice Address - Street 2:200
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5730
Practice Address - Country:US
Practice Address - Phone:844-363-5002
Practice Address - Fax:844-739-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health