Superior Innovative Services II

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SUPERIOR INNOVATIVE SERVICES II

Practice address

5000 Blue Clay Rd Ste D
Castle Hayne, NC 28429-6302

Phone

(910) 352-9720

NPI assigned

Apr 25, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Charles DavisNPI 1902526056

Title

Ceo

Phone

(910) 352-9720

Specialties & licenses 7

Addresses

Locations

Practitioners 1

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

• Charles W Davis II

  • Home Health Aide
  • Hampstead, NC
  • NPI 1902526056
  NPD Authorized official

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1104762996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430308",
            "telephone_number": "910-352-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE CLAY RD STE D",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296302",
            "telephone_number": "910-352-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INNOVATIVE SERVICES II",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-352-9720",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Occupational Therapy, PLLC
• Carolyn Ramsay, LCMHC
• Rehab Joint Inc
• Solis Collaborative LLC
• Makenna Jane Staggers
• Superior Innovative Services, LLC
• Jillian Tyszka, LCSWA
• Diane Upton, RN IBCLC
• Vaughn Acres Counseling PLLC
• Jennifer Gosnell Walker, MSW, LCSW

• Peer Specialist in Castle Hayne, NC
• Providers in Castle Hayne, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.