EDDIE BENJAMIN DAVIS III
NPI 1699305086
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbury, NJ

Q: What is Eddie Davis's NPI number?

The NPI number for Eddie Davis is 1699305086. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Q: What is Eddie Davis's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Davis was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 24, 2020

1966 MELVINA RD, WOODBURY, NJ 08096(856) 693-4446 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Jan 24, 2020 (2 updates tracked since 2020).

On this page

About Eddie Benjamin Davis Iii NPPES

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

EDDIE BENJAMIN DAVIS III (NPI 1699305086) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Woodbury, New Jersey and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1699305086

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameEDDIE BENJAMIN DAVIS III

Location Address1966 MELVINA RDWoodbury, NJ 08096-5613

Mailing Address1966 Melvina RdWoodbury, NJ 08096-5613

Phone(856) 693-4446

Sole ProprietorYes

Enumeration DateJanuary 24, 2020

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1699305086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1966 MELVINA RD, Woodbury, NJ 08096

Open in Google Maps ↗

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 Eddie Davis's NPI number?

The NPI number for Eddie Davis is 1699305086. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Eddie Davis located?

Eddie Davis practices at 1966 Melvina Rd, Woodbury, NJ 08096. The listed phone number is (856) 693-4446.

What is Eddie Davis's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Eddie Davis was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.