Davis Health Care Center

LBN: Cornelia Nixon Davis, Inc.
Davis Health Care Center is an health care organization with primary practice located at 1011 Porters Neck Rd , Wilmington NC 28411-9196. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Cornelia Nixon Davis, Inc. can be contacted via phone (910) 686-7195, or through Long, Charles Allen via phone (910) 686-7195.

Contact Information

Primary practice address
1011 Porters Neck Rd Wilmington NC 28411-9196
Fax: (910) 686-7592
Website:
Authorized official contact:
Name: Long, Charles Allen

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0097 North Carolina

Profile Details

NPI number 1356346191
LBN Legal business name Cornelia Nixon Davis, Inc.
DBA Doing business as Davis Health Care Center
Authorized official Long, Charles Allen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356346191 NPPES
North Carolina MEDICAID 3406154
North Carolina MEDICAID 3405160
North Carolina Other 7128883
North Carolina Other 00820

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