Davenport Family Services Inc,

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DAVENPORT FAMILY SERVICES INC,

Practice address

11 Madison Ave
Hempstead, NY 11550-4811

Phone

(828) 279-4443

Fax

(828) 357-5254

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Jermaine Davenport

Title

Ceo

Phone

(828) 279-4443

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1639836372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 THISTLE BLOOM CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691309",
            "telephone_number": "828-279-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MADISON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504811",
            "telephone_number": "828-279-4443",
            "fax_number": "828-357-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT FAMILY SERVICES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-10-19",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-279-4443"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeroan W Dally, DC
• Daniel Zilberbrand Podiatry P.C.
• Henri Valery Daniel, PHYSICAL THERAPIST
• Marielle Daquisto
• Darguin NP-Family Health PLLC
• David Immanuel, MD, PC
• Adaysia Davis, MHC-LP
• DB Wellness Care NP in Family Health PLLC
• DB Wellness Services LLC
• Trudi De Barros

• Intellectual Disabilities Intermediate Care Facility in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Intellectual Disabilities Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.