Active NPI
Cheyenne Davis
- Assisted Living Facility
- Saint Joseph, MI
National Provider Identifier
1144968215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 3905 Lorraine Path
Saint Joseph, MI 49085-8630 - Phone
- (269) 428-1111
- NPI assigned
- May 26, 2022
- Last updated
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
3905 Lorraine Path
Saint Joseph, MI 49085-8630
Mailing address
196 Elm St
Rossford, OH 43460-1223
Phone (419) 340-5949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1144968215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 ELM ST",
"city": "ROSSFORD",
"state": "OH",
"postal_code": "434601223",
"telephone_number": "419-340-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 LORRAINE PATH",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490858630",
"telephone_number": "269-428-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHEYENNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.