Organization Active NPI

Eugene C Davenport

Doing business as Davenport Family Care Home

  • Adult Care Home Facility
  • Rocky Mount, NC
National Provider Identifier
1437609179
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
EUGENE C DAVENPORT
Doing business as
Davenport Family Care Home
Practice address
1327 Echo Lake LN
Rocky Mount, NC 27803-2564
Phone
(252) 395-0263
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Eugene Carroll Davenport
Title
Owner
Phone
(252) 395-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1327 Echo Lake LN
Rocky Mount, NC 27803-2564

Mailing address

1327 Echo Lake LN
Rocky Mount, NC 27803-2564
Phone (252) 395-0263

Other names 1

  • Davenport Family Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1437609179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 ECHO LAKE LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032564",
            "telephone_number": "252-395-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 ECHO LAKE LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032564",
            "telephone_number": "252-395-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE C DAVENPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-395-0263"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.