Healthcare Provider Details

I. General information

NPI: 1851215198
Provider Name (Legal Business Name): DAVIS CARES HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8225 PERIDOT DR UNIT 205
MC LEAN VA
22102-3989
US

IV. Provider business mailing address

13580 WHITMAN LN
COVINGTON GA
30014-2380
US

V. Phone/Fax

Practice location:
  • Phone: 443-554-4084
  • Fax:
Mailing address:
  • Phone: 443-554-4084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KALIMAH DAVIS
Title or Position: CEO
Credential:
Phone: 443-554-4084