1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

DELTA MEDICAL SERVICES
NPI 1154508364
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Shreveport, LA

Active since January 30, 2008
1800 BUCKNER ST, SUITE B210, SHREVEPORT, LA 71101(318) 459-1600 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Delta Medical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA MEDICAL SERVICES (NPI 1154508364) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Shreveport, Louisiana and active in the NPI registry since January 2008. The organization lists Doris Mitchell, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1154508364
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameDELTA MEDICAL SERVICES
Location Address1800 BUCKNER ST, SUITE B210Shreveport, LA 71101-4440
Mailing Address1800 Buckner St, Suite B210Shreveport, LA 71101-4440
Phone(318) 459-1600
Organization SubpartNo
Authorized OfficialDoris MitchellPresident/ceo · (318) 459-1600
Enumeration DateJanuary 30, 2008
✔ NPI 1154508364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in LA · 11385
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1800 BUCKNER ST, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 4

Medicaid1368431LA
Medicaid1172367LA
Medicaid1566331LA
Medicaid1369403LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTY LYNETTE CRAIN PTA
Physical Therapy Assistant
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-2009
DR. MICHAEL D ROKAW MD
Internal Medicine (Nephrology)
1800 BUCKNER ST, STE C120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
MRS. AUDREY RACHAL SMITH NP
Nurse Practitioner
1800 BUCKNER ST, SUITE C-120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
DR. SREEDHARA BABU ALLA M.D.
Internal Medicine (Nephrology)
1800 BUCKNER ST, SUITE C120
SHREVEPORT, LA 71101
Caddo Parish (318) 227-8899
DR. LEONARD VINCENT MASTRODOMENICO M.D.
Radiology (Diagnostic Radiology)
1800 BUCKNER ST
SHREVEPORT, LA 71101
Caddo Parish (318) 222-1149
MRS. CHARLOTTE WRIGHT HERRING
Speech-Language Pathologist
1800 BUCKNER ST, C-200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-9002
DR. ERNEST L COWGER JR. PHD
Marriage & Family Therapist
1800 BUCKNER ST, SUITE C200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-9002
SHAWNA WOODS CHUMLEY LOTR
Occupational Therapist
1800 BUCKNER ST, C-200
SHREVEPORT, LA 71101
Caddo Parish (318) 227-9002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delta Medical Services's NPI number?

The NPI number for Delta Medical Services is 1154508364. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Delta Medical Services located?

Delta Medical Services is located at 1800 Buckner St Suite B210, Shreveport, LA 71101. The listed phone number is (318) 459-1600.

What is Delta Medical Services's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Delta Medical Services was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.