Healthcare Provider Details

I. General information

NPI: 1740134832
Provider Name (Legal Business Name): DAVIS CARE SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 WILLIAMS BLVD SW # 2-163
CEDAR RAPIDS IA
52404-1478
US

IV. Provider business mailing address

3315 WILLIAMS BLVD SW # 2-163
CEDAR RAPIDS IA
52404-1478
US

V. Phone/Fax

Practice location:
  • Phone: 319-693-5014
  • Fax:
Mailing address:
  • Phone: 319-693-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE DAVIS
Title or Position: OWNER
Credential:
Phone: 319-693-5014