DAVIS SUPPORTIVE LIVING HOME INC.
NPI 1245746171
Custodial Care Facility - Adult Care Home in Chattanooga, TN

Q: What is Davis Supportive Living Home Inc.'s NPI number?

The NPI number for Davis Supportive Living Home Inc. is 1245746171. It was assigned to this organization in the NPPES registry on December 14, 2017.

Q: What is Davis Supportive Living Home Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since December 14, 2017

1106 DUNCAN AVENUE, CHATTANOOGA, TN 37404(423) 825-5210(423) 821-5071 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Davis Supportive Living Home Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIS SUPPORTIVE LIVING HOME INC. (NPI 1245746171) is a healthcare organization registered as an adult care home in Chattanooga, Tennessee and active in the NPI registry since December 2017. The organization lists Lubron Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245746171

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameDAVIS SUPPORTIVE LIVING HOME INC.

Location Address1106 DUNCAN AVENUEChattanooga, TN 37404

Mailing Address4627 Kirkland AveChattanooga, TN 37410 · (423) 825-5210 · Fax (423) 821-5071

Phone(423) 825-5210

Fax(423) 821-5071

Organization SubpartNo

Authorized OfficialLubron DavisAdministrator · (423) 825-5210

Enumeration DateDecember 14, 2017

✔ NPI 1245746171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in TN · 0000000291

Definition

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.

1106 DUNCAN AVENUE, Chattanooga, TN 37404

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davis Supportive Living Home Inc.'s NPI number?

The NPI number for Davis Supportive Living Home Inc. is 1245746171. It was assigned to this organization in the NPPES registry on December 14, 2017.

Where is Davis Supportive Living Home Inc. located?

Davis Supportive Living Home Inc. is located at 1106 Duncan Avenue, Chattanooga, TN 37404. The listed phone number is (423) 825-5210.

What is Davis Supportive Living Home Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Davis Supportive Living Home Inc. was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.