1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Assisted Living Facility
  6. NPI Profile

CHAMPIONS ASSISTED LIVING
NPI 1851396535
Assisted Living Facility in Wilmington, NC

Active since June 17, 2005CLIA 34D1104278 · Waiver
1007 PORTERS NECK RD, WILMINGTON, NC 28411(910) 686-6462(910) 686-8320 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champions Assisted Living NPPES

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

CHAMPIONS ASSISTED LIVING (NPI 1851396535) is a healthcare organization registered as an assisted living facility in Wilmington, North Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Charles Allen Long, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851396535
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCORNELIA NIXON DAVIS, INC.
Location Address1007 PORTERS NECK RDWilmington, NC 28411-7383
Mailing Address1007 Porters Neck RdWilmington, NC 28411-7383 · (910) 686-6462 · Fax (910) 686-8320
Phone(910) 686-6462
Fax(910) 686-8320
Organization SubpartNo
Authorized OfficialCharles Allen LongExecutive Director · (910) 686-7195
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1851396535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL065020
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1007 PORTERS NECK RD, Wilmington, NC 28411
Open in Google Maps ↗

Other Names 1

Doing Business AsChampions Assisted Living

Other Identifiers 1

Medicaid7804910NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1104278

Champions Assisted Living · Wilmington, NC
Active · expires Aug 27, 2027
CLIA Number34D1104278
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorCharles Long
Laboratory Phone(910) 686-6462
Laboratory LocationChampions Assisted Living1007 Porters Neck Rd, Wilmington, NC 28411
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE A MISTOVICH PTA
Physical Therapy Assistant
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506
TISHA JONES MED,CCC-SLP
Speech-Language Pathologist
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506
LAUREN ELIZABETH SPINKS RADKOWSKI PT
Physical Therapist
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6462
JULIA ANN SHIRLEY PT
Physical Therapist
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506
MS. GWENDOLYN LEE HUFHAM COTAL
Occupational Therapy Assistant
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506
MRS. LANIA D'AMORE KELLY OTR/L
Occupational Therapist
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506
CINDI SEMKEN LPTA
Physical Therapy Assistant
1007 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-6506

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 Cornelia Nixon Davis, Inc.'s NPI number?

The NPI number for Cornelia Nixon Davis, Inc. is 1851396535. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as Champions Assisted Living.

Where is Cornelia Nixon Davis, Inc. located?

Cornelia Nixon Davis, Inc. is located at 1007 Porters Neck Rd, Wilmington, NC 28411. The listed phone number is (910) 686-6462.

What is Cornelia Nixon Davis, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cornelia Nixon Davis, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1104278) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornelia Nixon Davis, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.