Charles W Davis II

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HC6133 Issued in NC

Practice address

14680 US Highway 17
Hampstead, NC 28443-3504

Phone

(910) 319-0645

NPI assigned

Aug 30, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Superior Innovative Services II

  • Peer Specialist
  • Castle Hayne, NC
  • NPI 1104762996
  NPD Authorized official
• Superior Innovative Services, LLC

  • In Home Supportive Care Agency
  • Castle Hayne, NC
  • NPI 1164795530
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1902526056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430308",
            "telephone_number": "910-319-1605",
            "fax_number": "910-803-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14680 US HIGHWAY 17",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433504",
            "telephone_number": "910-319-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Claire Craig, BCBA
• Faith Victoria Wilson Creech
• Mandy Isaac Croom, RBT
• Amanda D Culp-Roche, APRN
• Daniel G. Miller, DDS, Fagd, PLLC
• Dennis Wayne Davis Sr., OPTICIAN
• Diana Davis, RD, LDN
• Melissa Richardson Davis, LCSW, LCAS, MSW
• Trisha Ashley Deane, OTR/L
• Paola Beatriz Delgado, MS, CCC-SLP

• Home Health Aide in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.