MATTHEW STANCIL DAVENPORT
NPI 1114563673
Custodial Care Facility - Adult Care Home in Nashville, NC
- Individual
- Male
- Custodial Care Facility
- Adult Care Home
About MATTHEW DAVENPORT
This page provides the complete NPI Profile along with additional information for Matthew Davenport, a provider established in Nashville, North Carolina with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1114563673 assigned on November 2019. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1114563673 Verify this NPI
- Provider Name
- MATTHEW STANCIL DAVENPORT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2318 N NC HIGHWAY 58 NASHVILLE, NC 27856
- Location Phone
- (252) 813-0027
- Location Fax
- (252) 459-2508
- Mailing Address
- 2318 N NC HIGHWAY 58 NASHVILLE, NC 27856
- Mailing Phone
- (252) 813-0027
- Mailing Fax
- (252) 459-2508
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-20-2019
- Last Update Date
- 11-20-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114563673, enumerated as an "individual" on November 20, 2019.
The provider is located at 2318 N NC HIGHWAY 58 NASHVILLE, NC 27856 and the phone number is (252) 813-0027.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.