Organization Active NPI

Davis Lloyd & Associates, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1407903073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-026-159 Issued in NC
Legal business name
DAVIS LLOYD & ASSOCIATES, INC.
Practice address
316 Murray Fork Dr
Fayetteville, NC 28314-0914
Phone
(910) 764-9295
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura Davis Lloyd
Title
Owner
Phone
(910) 826-7649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-026-159 NC Primary

Addresses

Primary practice location

316 Murray Fork Dr
Fayetteville, NC 28314-0914

Mailing address

6504 Bonnie Bell LN
Fayetteville, NC 28314-0302
Phone (910) 826-7649

Other identifiers 1

IdentifierTypeStateIssuer
6603022MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Davis Lloyd Associates 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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407903073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 BONNIE BELL LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140302",
            "telephone_number": "910-826-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MURRAY FORK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140914",
            "telephone_number": "910-764-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS LLOYD & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-826-7649",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-026-159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • 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.