Healthcare Provider Details

I. General information

NPI: 1750175477
Provider Name (Legal Business Name): DAVIS HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041 NEW CENTRE DR STE 209
WILMINGTON NC
28403-1624
US

IV. Provider business mailing address

313 BOHEMIA MILL POND DR
MIDDLETOWN DE
19709-6060
US

V. Phone/Fax

Practice location:
  • Phone: 910-760-1039
  • Fax: 910-795-4534
Mailing address:
  • Phone: 910-760-1039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MIKE DAVIS
Title or Position: OWNER
Credential:
Phone: 910-760-1039