Healthcare Provider Details

I. General information

NPI: 1801750286
Provider Name (Legal Business Name): DAVIS HEALTHCARE SERVICES (DHS) INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N MOUNTAIN AVE STE 211B
UPLAND CA
91786-5742
US

IV. Provider business mailing address

222 N MOUNTAIN AVE STE 221-B
UPLAND CA
91786-5714
US

V. Phone/Fax

Practice location:
  • Phone: 909-917-6705
  • Fax: 909-317-2308
Mailing address:
  • Phone: 909-917-6705
  • Fax: 909-317-2308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER CHINEDU IKEANYI
Title or Position: PRESIDENT/CEO
Credential: ED.D
Phone: 909-917-6705