NPIMap

Organization Active NPI

Cornelia Nixon Davis, Inc.

  • In Home Supportive Care Agency
  • Wilmington, NC
National Provider Identifier
1235598772
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4177 Issued in NC
Legal business name
CORNELIA NIXON DAVIS, INC.
Practice address
1013 Porters Neck Rd
Suite 130
Wilmington, NC 28411-8130
Phone
(910) 686-7195
Fax
(910) 686-7592
NPI assigned
Feb 12, 2016
Organization subpart
Yes
Parent organization
CORNELIA NIXON DAVIS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Charles Long
Title
Ceo
Phone
(910) 686-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4177 NC Primary

Addresses

Primary practice location

1013 Porters Neck Rd
Suite 130
Wilmington, NC 28411-8130

Mailing address

1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone (910) 686-7195

Other names 1

  • Davis Home Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cornelia Nixon Davis Inc4 organizations share this tax ID, including this one
Part of
Cornelia Nixon Davis Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1235598772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-7195",
            "fax_number": "910-686-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PORTERS NECK RD",
            "address_2": "SUITE 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118130",
            "telephone_number": "910-686-7195",
            "fax_number": "910-686-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA NIXON DAVIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNELIA NIXON DAVIS, INC",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-686-7195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.