CORNELIA NIXON DAVIS, INC.


Address: 83 Cavalier Dr., 200, Wilmington, NC 28405-4444
Phone: 9103192111

CORNELIA NIXON DAVIS, INC. (NPI# 1841697422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841697422
Entity Type Organization
Organization Name CORNELIA NIXON DAVIS, INC.
Other Organization Name DAVIS HEALTH AND WELLNESS AT CAMBRIDGE VILLAGE
Practice Address 83 Cavalier Dr.
200
Wilmington
NC 28405-4444
Mailing Address 1011 Porters Neck Rd
Wilmington
NC 28411-9196
Practice Telephone 9103192111
Practice Fax Number 9106867592
Mailing Telephone 9103192111
Mailing Fax Number 9106867592
Enumeration Date 2014-11-26
Last Update Date 2018-09-14
Authorized Official Name MR. CHARLES ALLEN LONG (EXECUTIVE DIRECTOR (CEO))
Authorized Official Telephone 9106867195
Is Organization Subpart Y
Parent Organization Name CORNELIA NIXON DAVIS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NH0645 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3405568 05

Other Provider/Organization Names

Other Name Type Code
Davis Health and Wellness at Cambridge Village Doing Business As Name - Organization
Davis Health and Wellness Center at Cambridge Village Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1235598772 Cornelia Nixon Davis, Inc. In Home Supportive Care 1013 Porters Neck Rd, Suite 130, Wilmington, NC 28411-8130 2016-02-12
1972735330 Cornelia Nixon Davis, Inc. Internal Medicine 1013 Porters Neck Rd Ste 100, Wilmington, NC 28411-9196 2009-08-19

Office Location

Street Address 83 CAVALIER DR.
200
City WILMINGTON
State NC
Zip Code 28405-4444

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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