Davco Rest Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100084

Legal business name

DAVCO REST HOME, LLC

Practice address

2526 W 10TH St
Owensboro, KY 42301-1738

Phone

(270) 684-1705

Fax

(270) 684-0963

NPI assigned

Nov 25, 2009

Organization subpart

Yes

Parent organization

DAVCO HOMES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Harry D Simpson Jr.

Title

Owner

Phone

(270) 683-5571

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Davco Rest Home LLC2 organizations share this tax ID, including this one

Part of

Davco Rest Home LLC

Other organizations with this tax ID 1

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

• Fern Terrace of Owensboro, LLC

  • Assisted Living Facility
  • Owensboro, KY
  • NPI 1568790665
  NPD tax ID

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1447588629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODFORD AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423010563",
            "telephone_number": "270-683-5571",
            "fax_number": "270-683-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 W 10TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423011738",
            "telephone_number": "270-684-1705",
            "fax_number": "270-684-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVCO REST HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVCO HOMES, INC",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-683-5571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": "100084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Joseph Danzer, DMD
• Frances Elisabeth Darnell, LPCC
• Deanna Lynn Darnes, LPN
• Morgan Dauby, SLP
• Victoria Michelle Daugherty
• Brittany Davidson, APRN
• Daviess County Board of Education
• Daviess Treatment Services LLC
• Brett C Davis, M.D.
• Darci Blue Davis, RDN

• Assisted Living Facility in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.