Champions Assisted Living

LBN: Cornelia Nixon Davis, Inc.
Champions Assisted Living is an health care organization with primary practice located at 1007 Porters Neck Rd , Wilmington NC 28411-7383. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Cornelia Nixon Davis, Inc. can be contacted via phone (910) 686-6462, or through Long, Charles Allen via phone (910) 686-7195.

Contact Information

Primary practice address
1007 Porters Neck Rd Wilmington NC 28411-7383
Phone: (910) 686-6462
Fax: (910) 686-8320
Website:
Map and Directions
Authorized official contact:
Name: Long, Charles Allen
Phone: (910) 686-7195

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL065020 North Carolina

Profile Details

NPI number 1851396535
LBN Legal business name Cornelia Nixon Davis, Inc.
DBA Doing business as Champions Assisted Living
Authorized official Long, Charles Allen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1851396535 NPPES
North Carolina MEDICAID 7804910

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