DELTA CARE INC (NPI# 1467782102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467782102 |
| Entity Type | Organization |
| Organization Name | DELTA CARE INC |
| Practice Address |
4705 N Sonora Ave Suite 113 Fresno CA 93722-3966 |
| Mailing Address |
4705 N Sonora Ave Ste 113 Fresno CA 93722-3965 |
| Practice Telephone | 5592767558 |
| Practice Fax Number | 5592767568 |
| Mailing Telephone | 5592767558 |
| Mailing Fax Number | 5592767568 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | MRS. RITA OBIAJULUM ENUNWA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5592767558 |
| Authorized Official Credential | MSN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100082AN | CA | Agencies |
| Street Address |
4705 N SONORA AVE SUITE 113 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255609 | Mark Blanton | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2008-01-22 |
| 1538609961 | Healthy Life Home Services, Inc | Home Health | 4705 N Sonora Ave, Suite 106, Fresno, CA 93722-3966 | 2017-03-04 |
| 1396175626 | Jeanette Jackson | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-22 |
| 1922438480 | Tafailagi Yandall | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-20 |
| 1851640247 | Jeremiah Brubaker | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2012-08-31 |
| 1851679260 | Minerva Minnie Mijangos | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-08-02 |
| 1841580578 | Yolanda Theresa Bowen | Contractor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-04-14 |
| 1831488964 | Robert Lee Bohanna | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-03-29 |
| 1861796062 | Maria Angelica Galvan | Interpreter | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-01-03 |
| 1508181413 | Carina Gonzolez Espitia | Community Health Worker | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2010-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1003413600 | Kings View Corporation | Community/Behavioral Health | 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 | 2020-10-06 |
| 1396360855 | North Star Wellness Center, Inc | Community/Behavioral Health | 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 | 2020-06-10 |
| 1710509377 | Mary Kay Buckley, Psychotherapist Inc | Community/Behavioral Health | 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 | 2020-05-17 |
| 1992345797 | Quality Group Homes, Inc. | Community/Behavioral Health | 643 E Sample Ave, Fresno, CA 93710-5428 | 2020-01-09 |
| 1790321412 | Majesty Holistic Health Services | Community/Behavioral Health | 2906 Valiant Elm St, Fresno, TX 77545-8160 | 2019-11-19 |
| 1508410341 | Fresno Youth Care Homes, Inc. | Community/Behavioral Health | 64 E Weldon Ave, Fresno, CA 93704-5956 | 2019-07-30 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1114431897 | My Time Recovery, LLC | Community/Behavioral Health | 1107 W Rialto Ave, Fresno, CA 93705-0918 | 2017-11-17 |
| Find all providers in FRESNO | ||||
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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.