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LISA DAVIS
NPI 1619318318
Custodial Care Facility - Adult Care Home in Clearwater, FL

Active since July 10, 2013
1114 ENGMAN ST, CLEARWATER, FL 33755(727) 443-0368 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Davis NPPES

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

LISA DAVIS (NPI 1619318318) is a healthcare organization registered as an adult care home in Clearwater, Florida and active in the NPI registry since July 2013. The organization lists Lisa Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1619318318
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLISA DAVIS
Location Address1114 ENGMAN STClearwater, FL 33755-3219
Mailing Address1114 Engman StClearwater, FL 33755-3219 · (727) 443-0368
Phone(727) 443-0368
Organization SubpartNo
Authorized OfficialLisa DavisOwner · (727) 443-0368
Enumeration DateJuly 10, 2013
✔ NPI 1619318318 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 FL · 6905967
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.
1114 ENGMAN ST, Clearwater, FL 33755
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Other Identifiers 1

Medicaid142585400FL

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 Lisa Davis's NPI number?

The NPI number for Lisa Davis is 1619318318. It was assigned to this organization in the NPPES registry on July 10, 2013.

Where is Lisa Davis located?

Lisa Davis is located at 1114 Engman St, Clearwater, FL 33755. The listed phone number is (727) 443-0368.

What is Lisa Davis'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 Lisa Davis was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.