Cassandra Davis
Individual provider Active NPI Adult Care Home Facility · Louisburg, NC
NPI 1114554516 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1114554516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL-035-033 (NC)
- Practice address
- 131 Huntington Rd
Louisburg, NC 27549 - Phone
- (919) 729-0259
- Fax
- (919) 729-0259
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-035-033 | NC | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blulife Community Health LLC | Current | Accepting new patients | |
| Heart to Heart Family Care Home | Adult Care Home | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-035-033 | NC | Yes |
Addresses
Primary practice location
131 Huntington Rd
Louisburg, NC 27549
Mailing address
131 Huntington Rd
Louisburg, NC 27549
Phone (919) 729-0259
Other providers in Louisburg, NC
- William R Croninger
- Lori Lockleair Cyrus
- D H Lee DMD PA
- D. H. Lee DMD PA
- Rieann Davina Dantzler
- Saniece L Davis
- Allison Kathryn Dgien
- Gemma Diez-Belano
- Darius Jose Ayala Divina
- Divine Family Care Home
All providers in Louisburg, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.