Organization Active NPI

Lafawn Davis

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • East Cleveland, OH
National Provider Identifier
1003074659
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2379886 Issued in OH
Legal business name
LAFAWN DAVIS
Practice address
1872 Taylor Rd
1872 Taylor Rd
East Cleveland, OH 44112-2829
Phone
(216) 681-0924
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lafawn M DavisNPI 1386803195
Title
Independent Provider
Phone
(216) 681-0924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2379886 OH Primary

Addresses

Primary practice location

1872 Taylor Rd
1872 Taylor Rd
East Cleveland, OH 44112-2829

Mailing address

1872 Taylor Rd
1872 Taylor Rd
East Cleveland, OH 44112-2829
Phone (216) 681-0924

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1003074659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 TAYLOR RD",
            "address_2": "1872 TAYLOR RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122829",
            "telephone_number": "216-681-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 TAYLOR RD",
            "address_2": "1872 TAYLOR RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122829",
            "telephone_number": "216-681-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAWN DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LAFAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INDEPENDENT  PROVIDER",
        "authorized_official_telephone_number": "216-681-0924"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "2379886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.