Active NPI
Davis & Associates, Inc
- Intellectual Disabilities Intermediate Care Facility
- Fayetteville, NC
National Provider Identifier
1740337757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- MHL-026-157
- Legal business name
- DAVIS & ASSOCIATES, INC
- Practice address
- 1108 Quailmeadow Dr
Fayetteville, NC 28314-5936 - Phone
- (910) 864-4300
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura Davis Lloyd
- Title
- Owner
- Phone
- (910) 826-7648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-026-157 | NC | Primary |
Addresses
Primary practice location
1108 Quailmeadow Dr
Fayetteville, NC 28314-5936
Mailing address
6504 Bonnie Bell LN
Fayetteville, NC 28314-0302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340607U | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1108 Quail Meadow Dr
Fayetteville, NC 28314
Phone (910) 864-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740337757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6504 BONNIE BELL LN",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 QUAILMEADOW DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145936",
"telephone_number": "910-864-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS & ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-826-7648",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NC",
"license": "MHL-026-157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340607U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- 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.