Davis Management Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

041609 Issued in MO

Legal business name

DAVIS MANAGEMENT SERVICES, INC.

Practice address

300 West Fairview Street
King City, MO 64463-0605

Phone

(660) 535-4325

Fax

(660) 535-4553

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa L. McGhee, R.N.

Title

Administrator

Phone

(660) 535-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• King City Manor Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1285621185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST FAIRVIEW STREET",
            "city": "KING CITY",
            "state": "MO",
            "postal_code": "644630605",
            "telephone_number": "660-535-4325",
            "fax_number": "660-535-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST FAIRVIEW STREET",
            "city": "KING CITY",
            "state": "MO",
            "postal_code": "644630605",
            "telephone_number": "660-535-4325",
            "fax_number": "660-535-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-535-4325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "041609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101488807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King City Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Bucher, DPT
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• Whitney Freeman, D.O.
• Fuemmeler Holdings, LLC
• Jessica Fultz, FNP-C
• Harborview King City LLC
• Harborview King City LLC

• Skilled Nursing Facility in King City, MO
• Providers in King City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.