Davick Enterprise,LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DAVICK ENTERPRISE,LLC

Practice address

2628 N Everly Dr
Frederick, MD 21701-1510

Phone

(240) 898-7867

NPI assigned

Aug 14, 2024

Organization subpart

Yes

Parent organization

DAVICK CARE SOLUTIONSAs reported in NPPES

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

Authorized official

Name

Mrs. Clarice Dedeocoyoo Attram Bondzie

Title

Owner/Ceo

Phone

(240) 898-7867

Specialties & licenses 1

Addresses

Other names 1

• DaVick Care Solutions Doing business as

Part of

Davick Enterprisellc

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1215769799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 N EVERLY DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217011510",
            "telephone_number": "240-898-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 N EVERLY DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217011510",
            "telephone_number": "240-898-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVICK ENTERPRISE,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVICK CARE SOLUTIONS",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ATTRAM BONDZIE",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "DEDEOCOYOO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "240-898-7867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVick Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Blaire Daugherty, CRNP-PMH
• Jennifer Davamony
• Mitra Davaninejad, DDS
• Prafull K Dave, MD PA
• Katie Davella, LCPC
• David a. Lieb
• David J Levine DPM C Ped
• David W. Kossoff, M.D., LLC
• Lisa Belle Davidowitz
• Kimberly Anne Davies, OTR/L

• Case Management Agency in Frederick, MD
• Providers in Frederick, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.