Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
DAVENPORT FAMILY SERVICES INC,
Active
Organization
DAVENPORT FAMILY SERVICES INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE DAVENPORT (CEO)
(828) 279-4443
Entity
Organization
Contact information
Practice address
11 MADISON AVE, HEMPSTEAD, NY 11550-4811
(828) 279-4443
(828) 357-5254
Mailing address
3412 THISTLE BLOOM CT, CHARLOTTE, NC 28269-1309
(828) 279-4443
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/17/2021
Last updated
10/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up