LISA DAVIS (NPI# 1639613573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639613573 |
| Entity Type | Individual |
| Full Name | LISA DAVIS |
| Practice Address |
8937 1/2 S Western Ave Los Angeles CA 90047-3549 |
| Practice Telephone | 3237507800 |
| Mailing Telephone | 3237507800 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444633 | Lisa Davis | Technician | 595 Trenum Dr, Keyser, WV 26726-7058 | 2020-10-09 |
| 1366054454 | Lisa M Davis | Home Health Aide | 1300 H St Ne Apt 306, Washington, DC 20002-6827 | 2020-08-19 |
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1760025407 | Lisa Davis | Speech-Language Pathologist | 7121 Wren Ave Nw, North Canton, OH 44720-7054 | 2019-10-25 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1194223727 | Lisa Duncan Davis | Dietitian, Registered | 217 Harr Town Rd, Blountville, TN 37617-3830 | 2018-01-29 |
| 1114464708 | Lisa Davis | Nurse Practitioner | 16812 Eldamere Ave, Cleveland, OH 44128-1516 | 2017-01-20 |
| 1275087264 | Lisa Davis | Dental Hygienist | 5901 Stone Pine Rd, Wilmington, DE 19808-1015 | 2016-08-08 |
| 1376919753 | Lisa Davis | Licensed Practical Nurse | 30780 Barrington St, Madison Heights, MI 48071-1834 | 2015-08-19 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| Street Address |
8937 1/2 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053976811 | Octavia Antoinette Askew | Day Training, Developmentally Disabled Services | 5412 S Broadway, Los Angeles, CA 90037-4126 | 2019-05-07 |
| 1396214615 | Tetra Health Care | Day Training, Developmentally Disabled Services | 10714 Woodbine St Apt 4, Los Angeles, CA 90034-5423 | 2018-11-15 |
| 1528569779 | Family Hands Adult Residential Care, LLC | Day Training, Developmentally Disabled Services | 10016 La Salle Ave, Los Angeles, CA 90047-4242 | 2018-02-23 |
| 1770033037 | Leaps N Boundz | Day Training, Developmentally Disabled Services | 5301 Beethoven St, Suite 155, Los Angeles, CA 90066-7061 | 2016-10-11 |
| 1144571290 | Dare U To Care Outreach Ministries | Day Training, Developmentally Disabled Services | 316 W 120th St, Los Angeles, CA 90061-1306 | 2012-09-28 |
| 1750569000 | Lotus Therapy, Inc. | Day Training, Developmentally Disabled Services | 3400 Fletcher Dr, Unit A, Los Angeles, CA 90065-2916 | 2008-02-07 |
| 1154542058 | Asian Rehabilitation Service, Inc. | Day Training, Developmentally Disabled Services | 1701 E Washington Blvd, Los Angeles, CA 90021-3124 | 2007-05-01 |
| 1295815108 | S $ R Quality Assisted Living Inc. | Day Training, Developmentally Disabled Services | 1543 W 80th St, Los Angeles, CA 90047-2843 | 2006-10-16 |
| 1003875493 | Healthylife,inc | Day Training, Developmentally Disabled Services | 137 N Virgil Ave, Los Angeles, CA 90004-4811 | 2006-03-22 |
| 1457900441 | Care Connection, Inc. | Day Training, Developmentally Disabled Services | 633 W 5th St Ste 2600, Los Angeles, CA 90071-2053 | 2019-09-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
Please comment or provide details below to improve the information on LISA DAVIS.
| 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.