DAVIS ELDERLY CARE, LLC (NPI# 1720253313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720253313 |
| Entity Type | Organization |
| Organization Name | DAVIS ELDERLY CARE, LLC |
| Practice Address |
5139 S Hanover Saluda Rd Hanover IN 47243-9212 |
| Practice Telephone | 8128662532 |
| Practice Fax Number | 8128662530 |
| Mailing Telephone | 8128662532 |
| Mailing Fax Number | 8128662530 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | JOANNA DAVIS SIMPSON (PRESIDENT) |
| Authorized Official Telephone | 8128662532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 200884710 C | IN | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DAVIS ELDERLY CARE, LLC | 5139 Hanover Saluda Rd, Hanover, IN 47243 |
| Street Address |
5139 S HANOVER SALUDA RD |
| City | HANOVER |
| State | IN |
| Zip Code | 47243-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649770769 | Fast Pace Medical Clinic Pllc | Clinic/Center | 4152 W State Road, Hanover, IN 47243 | 2018-02-15 |
| 1972912376 | Laura Sparks | Nurse Practitioner | 4152 West State Road 56, Hanover, IN 47243 | 2014-08-11 |
| 1376638478 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 36 Medical Plaza, Hanover, IN 47243 | 2006-10-04 |
| 1912510306 | Suzanna M Schaefer | Nurse Practitioner | 4152 West State Road 56, Hanover, IN 47243 | 2020-08-26 |
| 1750311809 | Laura H Nutter | Family Medicine | 36 Medical Plz, Hanover, IN 47243 | 2006-07-04 |
| 1184790180 | Barbara A Ford | Occupational Therapist | 2982 S River Bluff Dr, Hanover, IN 47243-8205 | 2006-11-28 |
| 1326355728 | Bonita Petersen | Speech-Language Pathologist | 4571 W Chain Mill Ct, Hanover, IN 47243-9173 | 2010-09-07 |
| 1396295259 | Amanda Chandler | Midwife | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2016-10-04 |
| 1912488537 | Community Birth Group | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2018-08-22 |
| 1013498633 | Private Healthcare Facilities | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2018-08-22 |
| Find all providers in zip 47243 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| 1982729604 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 6996 S Us 421, Versailles, IN 47042-9390 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
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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.