Davilla Home Care, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DAVILLA HOME CARE, LLC

Practice address

5920 Wheatland Dr SW
Cedar Rapids, IA 52404-7362

Phone

(319) 491-6112

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Gentille Dumishe

Title

Ceo

Phone

(319) 491-6112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1952160632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 WHEATLAND DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047362",
            "telephone_number": "319-491-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 WHEATLAND DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047362",
            "telephone_number": "319-491-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVILLA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DUMISHE",
        "authorized_official_first_name": "GENTILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-491-6112"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Developmentally Disabled Services Day Training Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.