MEDICARE: DELTA RESIDENTIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1912682006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA RESIDENTIAL SERVICES

Provider Business Mailing Address
First Line	:	5903 AUTUMN OAK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3535
Country	:	US
Telephone Number	:	614-377-7302
Fax Number	:

Provider Business Practice Location Address
First Line	:	5903 AUTUMN OAK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3535
Country	:	US
Telephone Number	:	614-377-7302
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAMBA M DEYNA
Credential	:
Telephone Number	:	614-377-7302

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

Similar Medicare Providers

1457035099 — MR. SAMBA DEYNA
Practice Location Address:

5903 AUTUMN OAK DR
COLUMBUS, OH
43232-3535

Practice Phone: 614-377-7302
Practice Fax:

1881275527 — MICHAEL OSEI-MORGAN
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3908

Practice Phone: 614-566-3174
Practice Fax:

1598621229 — SYDNEY MARIE RAMICONE PA-C
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3998

Practice Phone: 614-566-5000
Practice Fax:

1083468185 — MEGHAN ANN MITCHELL CPC-PC
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3908

Practice Phone: 614-566-5000
Practice Fax:

1689245086 — CAITLIN A CRAFT APRN
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3908

Practice Phone: 614-788-9720
Practice Fax:

1710980891 — AMY D MIRACLE CNM
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3908

Practice Phone: 614-566-4378
Practice Fax: 614-533-1216

Directions to “DELTA RESIDENTIAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.