CORNELIA NIXON DAVIS, INC. (NPI# 1235598772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235598772 |
| Entity Type | Organization |
| Organization Name | CORNELIA NIXON DAVIS, INC. |
| Other Organization Name | DAVIS HOME CARE SERVICES |
| Practice Address |
1013 Porters Neck Rd Suite 130 Wilmington NC 28411-8130 |
| Mailing Address |
1011 Porters Neck Rd Wilmington NC 28411-9196 |
| Practice Telephone | 9106867195 |
| Practice Fax Number | 9106867592 |
| Mailing Telephone | 9106867195 |
| Mailing Fax Number | 9106867592 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MR. CHARLES LONG (CEO) |
| Authorized Official Telephone | 9106867195 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNELIA NIXON DAVIS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | HC4177 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Davis Home Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697422 | Cornelia Nixon Davis, Inc. | Skilled Nursing Facility | 83 Cavalier Dr., 200, Wilmington, NC 28405-4444 | 2014-11-26 |
| 1851396535 | Cornelia Nixon Davis, Inc. | Assisted Living Facility | 1007 Porters Neck Rd, Wilmington, NC 28411-7383 | 2005-06-17 |
| 1356346191 | Cornelia Nixon Davis, Inc. | Clinic/Center | 1011 Porters Neck Rd, Wilmington, NC 28411-9196 | 2005-06-17 |
| 1972735330 | Cornelia Nixon Davis, Inc. | Internal Medicine | 1013 Porters Neck Rd Ste 100, Wilmington, NC 28411-9196 | 2009-08-19 |
| Street Address |
1013 PORTERS NECK RD SUITE 130 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28411-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080811 | Audrey Lynn Sutton-surak | Family Medicine | 1013 Porters Neck Rd, Suite 100, Wilmington, NC 28411 | 2005-11-16 |
| 1770834616 | Rachael Elizabeth Good Selby | Physical Therapy Assistant | 1013 Porters Neck Rd, Wilmington, NC 28411-8130 | 2012-10-01 |
| 1003115932 | Steven Watkins | Pharmacist | 1013 Porters Neck Rd, Wilmington, NC 28411 | 2011-03-17 |
| 1114191525 | Extended Care Physicians - Coastal, Pa | Family Medicine | 1013 Porters Neck Rd, Suite 130, Wilmington, NC 28411-8130 | 2008-04-16 |
| 1174641385 | Kristy Aswell Oates | Pharmacist | 1013 Porters Neck Rd, Wilmington, NC 28411-9196 | 2007-03-26 |
| 1821168055 | Senior Care Systems, P.a. | Family Medicine | 1013 Porters Neck Rd, Suite 100, Wilmington, NC 28411 | 2006-11-08 |
| 1639139660 | Marsha D Fretwell | Internal Medicine | 1013 Porters Neck Rd, Suite 100, Wilmington, NC 28411-8130 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
| 1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
| 1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
| 1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
| 1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
| 1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
| 1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
| 1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
| 1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
| 1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
| Find all providers in zip 28411 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040828 | A Primary Choice, Inc. | In Home Supportive Care | 5215 Market St Ste A, Wilmington, NC 28405-3433 | 2019-06-04 |
| 1366921397 | Selden Senior Services, Inc. | In Home Supportive Care | 2210 Wrightsville Ave Ste 3d, Wilmington, NC 28403-2575 | 2018-08-10 |
| 1548760689 | Neighborly Home Care | In Home Supportive Care | 1213 N King St, Wilmington, DE 19801-3217 | 2018-02-15 |
| 1528575164 | Absolute Home Care Plus of Illinois | In Home Supportive Care | 217 N Water St, Wilmington, IL 60481-1836 | 2018-01-04 |
| 1639685605 | We Care Home Care of Delaware, Inc. | In Home Supportive Care | 2706 Kirkwood Hwy Fl 3, Wilmington, DE 19805-4912 | 2017-12-28 |
| 1578072575 | Family Benefit Homecare LLC | In Home Supportive Care | 3322 Englewood Rd, Wilmington, DE 19810-3302 | 2017-09-22 |
| 1093255705 | L1932, Ltd | In Home Supportive Care | 3329 Wrightsville Ave Ste E, Wilmington, NC 28403-4115 | 2017-02-28 |
| 1043759277 | Intellichoice Staffing LLC | In Home Supportive Care | 1922 Tradd Ct, Wilmington, NC 28401-6637 | 2017-02-21 |
| 1801244322 | Ncco Home Care LLC | In Home Supportive Care | 5145 W Woodmill Dr, Suite 22, Wilmington, DE 19808-4067 | 2016-05-25 |
| 1003292160 | Godusi LLC | In Home Supportive Care | 2505 S 17th St Ste 110, Wilmington, NC 28401-7992 | 2015-07-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.