Organization Active NPI

B.C. Davis Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Inkster, MI
National Provider Identifier
1306173828
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS8202283668 Issued in MI
Legal business name
B.C. DAVIS INC.
Practice address
30040 Grandview
Inkster, MI 48141
Phone
(734) 722-5056
Fax
(734) 727-0903
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mrs. Cheryl Anne Davis
Title
Owner Operator
Phone
(313) 220-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS8202283668 MI Primary

Addresses

Primary practice location

30040 Grandview
Inkster, MI 48141

Mailing address

30040 Grandview St
Inkster, MI 48141-1014
Phone (734) 722-5056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1306173828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30040 GRANDVIEW ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411014",
            "telephone_number": "734-722-5056",
            "fax_number": "734-727-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30040 GRANDVIEW",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "48141",
            "telephone_number": "734-722-5056",
            "fax_number": "734-727-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.C. DAVIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "313-220-4577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS8202283668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.