Organization Active NPI

Davis in-Home Care, Inc.

  • In Home Supportive Care Agency
  • Redondo Beach, CA
National Provider Identifier
1790469930
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DAVIS IN-HOME CARE, INC.
Practice address
2627 Manhattan Beach Blvd Ste 204
Redondo Beach, CA 90278-1606
Phone
(310) 297-9127
Fax
(310) 297-9128
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Mr. Drew C Davis
Title
President
Phone
(310) 297-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2627 Manhattan Beach Blvd Ste 204
Redondo Beach, CA 90278-1606

Mailing address

2627 Manhattan Beach Blvd Ste 204
Redondo Beach, CA 90278-1606
Phone (310) 297-9127

National Provider Directory

National Provider Directory

Locations

2627 Manhattan Beach Blvd
Ste 204
Redondo Beach, CA 90278
Phone (310) 297-9127

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1790469930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 MANHATTAN BEACH BLVD STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781606",
            "telephone_number": "310-297-9127",
            "fax_number": "310-297-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 MANHATTAN BEACH BLVD STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781606",
            "telephone_number": "310-297-9127",
            "fax_number": "310-297-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS IN-HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-297-9125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

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