Davis Personal Care Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

123670 Issued in PA

Legal business name

DAVIS PERSONAL CARE HOME

Practice address

1006 W 2ND St
Chester, PA 19013-3614

Phone

(610) 872-4162

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Eula M Davis

Title

Administrator

Phone

(610) 872-4162

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1811256944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 W 3RD ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W 2ND ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133614",
            "telephone_number": "610-872-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-872-4162"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "123670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123670",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Daly
• Luke Damiani
• Daniel O. Dada, M.D., P.C.
• Daniel O. Dada, M.D., PC
• Shane Darren Danielson, M.D.
• Eula Mae Davis
• Homer Bardo Davis Jr., M.D.
• Rebekah De la Paz
• Lauren Decarlo, LCSW
• Emily Choi Decroos, MD

• In Home Supportive Care Agency in Chester, PA
• Providers in Chester, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.