OrganizationActive
Davenport Family Services Inc,
NPI 1639836372 · Intellectual Disabilities Intermediate Care Facility · Hempstead, NY
Provider details
- NPI number
- 1639836372
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jermaine Davenport, Ceo(828) 279-4443
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Practice location
11 Madison Ave
Hempstead, NY 11550-4811
Phone: (828) 279-4443
Fax: (828) 357-5254
Approximate (ZIP-level) locationGet directions
Mailing address
3412 Thistle Bloom Ct
Charlotte, NC 28269-1309
Registry dates
- Enumerated
- 2021-11-17
- Last updated
- 2023-10-19
- Certified
- 2021-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.