Davis Legacy Enterprises LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DAVIS LEGACY ENTERPRISES LLC

Practice address

4895 Chimney Hill CT
Austell, GA 30106-1765

Phone

(678) 398-9619

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

David Davis

Title

Owner

Phone

(404) 281-8826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523145600000",
    "number": "1609384767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY SE",
            "address_2": "SUITE 134 # 444",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 CHIMNEY HILL CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061765",
            "telephone_number": "678-398-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS LEGACY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-281-8826"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amita N Dave, MD
• Jaimini A Dave, M.D.
• Niranjan J Dave, MD
• Stormy Lovie Davenport, MASSAGE THERAPIST
• Christina K Davia, PT
• Christopher Tory Davis, PHARM.D, RPH
• Victor Linelle Davis
• Kristi S Dean, THERAPY DIR. I
• Raquel M Decamp, PA-C
• Victoria Milayne Deeson

• Home Health Agency in Austell, GA
• Providers in Austell, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.