Organization Active NPI

Davidson Homes, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Andrews, NC
National Provider Identifier
1336491307
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
3408964 Issued in NC
Legal business name
DAVIDSON HOMES, INC.
Practice address
19704 Highway 19
Andrews, NC 28901
Phone
(828) 321-4111
Fax
(828) 321-4122
NPI assigned
Oct 15, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
John McRee Davidson
Title
President
Phone
(828) 299-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 3408964 NC Primary

Addresses

Primary practice location

19704 Highway 19
Andrews, NC 28901

Mailing address

2084 US Highway 70
Swannanoa, NC 28778-8211
Phone (828) 299-1720

Other identifiers 1

IdentifierTypeStateIssuer
3408964MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Davidson Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2084 US Highway 70
Swannanoa, NC 28778
Phone (828) 299-1720

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1336491307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 US HIGHWAY 70",
            "city": "SWANNANOA",
            "state": "NC",
            "postal_code": "287788211",
            "telephone_number": "828-299-1720",
            "fax_number": "828-299-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19704 HIGHWAY 19",
            "city": "ANDREWS",
            "state": "NC",
            "postal_code": "28901",
            "telephone_number": "828-321-4111",
            "fax_number": "828-321-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MCREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-299-1720"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "3408964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408964",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.