Davis Healthcare Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7623 Issued in NC

Legal business name

DAVIS HEALTHCARE CENTER

Practice address

1011 Porters Neck Rd
Wilmington, NC 28411-9196

Phone

(910) 686-5614

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Teal Busteed

Title

Program Manager

Phone

(910) 686-5614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1386924736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MATTHEWS COMMONS DR APT 13",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BUSTEED",
        "authorized_official_first_name": "TEAL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "910-686-5614"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "7623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Douglas Davidson, MD
• Kristin Davidson
• Morgan Elizabeth Davidson, PT, DPT, LAT, ATC
• Jennifer Davila Morales, LCSWA
• Davis Eye Associates OD, PA (Dba Family Vision Clinic)
• Davis Home Health Services LLC (Caring Senior Service of Wilmington)
• Angela Davis
• Benjamin Robert Davis, CADC, CPSS
• Brandon Thomas Davis, PTA
• Brenda Jackson Davis, LPC

• Skilled Nursing Facility in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.