National Provider Identifier Database

DAVENPORT FAMILY SERVICES INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

DAVENPORT FAMILY SERVICES INC,
11 MADISON AVE
HEMPSTEAD, NY11550-4811
Phone: 828-279-4443
Fax: 828-357-5254
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X
Adult Care Home 311ZA0620X
Intermediate Care, Mental Illness 310500000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for DAVENPORT FAMILY SERVICES INC,

NPI Number 1639836372
Legal business name
LBN
DAVENPORT FAMILY SERVICES INC,
Authorized official JERMAINE DAVENPORT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/17/2021
Last updated 10/19/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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