Davis & Davis New Beginnings#1

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-060-855 Issued in NC

Legal business name

DAVIS & DAVIS NEW BEGINNINGS#1

Practice address

1918 Erie St
Charlotte, NC 28216-4703

Phone

(704) 393-0497

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Eugene Davis

Title

Administrator

Phone

(704) 343-2462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417097221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N DAVIDSON ST",
            "address_2": "C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023103",
            "telephone_number": "704-343-2462",
            "fax_number": "704-398-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 ERIE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164703",
            "telephone_number": "704-393-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS & DAVIS NEW BEGINNINGS#1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-343-2462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603499",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Smith Davidson, LPCA
• Jennifer L Davies, SLP
• McLean Davies, MD
• Rachel Davilla, FNP
• Bandi Lea Davini, APRN
• Unique Davis Hilliard
• Jennifer Susan Davis Prabhu, MD
• Davis Quality Care LLC
• Aaron Davis, SPECIALIST
• Alejandra Davis, LCSWA

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based 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.