Healthcare Provider Details

I. General information

NPI: 1518438464
Provider Name (Legal Business Name): DELTA EXCELLENCE HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 FRONTENAC ST
PHILADELPHIA PA
19149-3237
US

IV. Provider business mailing address

6010 FRONTENAC ST
PHILADELPHIA PA
19149-3237
US

V. Phone/Fax

Practice location:
  • Phone: 856-693-2209
  • Fax:
Mailing address:
  • Phone: 856-693-2209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANI SIMMONS
Title or Position: CEO
Credential: RN
Phone: 856-693-2209