MATTHEW STANCIL DAVENPORT
NPI 1114563673
Custodial Care Facility - Adult Care Home in Nashville, NC

Active since November 20, 2019
2318 N NC HIGHWAY 58, NASHVILLE, NC 27856(252) 813-0027(252) 459-2508 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.