The Davis Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-093-040 Issued in NC

Legal business name

THE DAVIS HOME

Practice address

112 Akins LN
Manson, NC 27553-9124

Phone

(252) 456-4574

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Evelean Davis

Title

Owner

Phone

(252) 456-4574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306979844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AKINS LN",
            "city": "MANSON",
            "state": "NC",
            "postal_code": "275539124",
            "telephone_number": "252-456-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AKINS LN",
            "city": "MANSON",
            "state": "NC",
            "postal_code": "275539124",
            "telephone_number": "252-456-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DAVIS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EVELEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-456-4574",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-093-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Evans Cash
• Allison Elizabeth Cotten, LCSW, LCAS, CSI
• Philip James Hinman, LCSW
• Linda Means, MS
• Orcaxp
• The Spencer Home
• Vance-Warren Comprehensive Health Plan Pharmacy
• Vance-Warren Comprehensive Health Plan, Inc.
• Karen Eichman Williams, LPC
• Evelean Davis Woodard

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Manson, NC
• Providers in Manson, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.