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STSDAVISLLC
NPI 1982469268
Community Based Residential Treatment Facility, Mental Illness in Concord, NC

Active since February 16, 2024
431 AMHURST ST SW, CONCORD, NC 28025(704) 890-6164 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Stsdavisllc NPPES

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

STSDAVISLLC (NPI 1982469268) is a healthcare organization registered as a community based residential treatment facility, mental illness in Concord, North Carolina and active in the NPI registry since February 2024. The organization lists Shannon Marie Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982469268
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSTSDAVISLLC
Location Address431 AMHURST ST SWConcord, NC 28025-8838
Mailing Address431 Amhurst St SwConcord, NC 28025-8838 · (704) 890-6164
Phone(704) 890-6164
Organization SubpartNo
Authorized OfficialShannon Marie DavisExecutive Director · (704) 890-6164
Enumeration DateFebruary 16, 2024
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1982469268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
431 AMHURST ST SW, Concord, NC 28025
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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 Stsdavisllc's NPI number?

The NPI number for Stsdavisllc is 1982469268. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Stsdavisllc located?

Stsdavisllc is located at 431 Amhurst St SW, Concord, NC 28025. The listed phone number is (704) 890-6164.

What is Stsdavisllc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Stsdavisllc was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.