MRS. CLARA M DAVIS (NPI# 1366702060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366702060 |
| Entity Type | Individual |
| Full Name | MRS. CLARA M DAVIS |
| Practice Address |
1719 W Dubail St South Bend IN 46613-1216 |
| Practice Telephone | 5742332287 |
| Mailing Telephone | 5742332287 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118527 | Clara Latese Davis | Social Worker | 1525 S Higley Rd Ste 104, Gilbert, AZ 85296-5045 | 2019-08-07 |
| 1336705045 | Clara Ann Davis | Case Manager/Care Coordinator | 2156 Wooddale Blvd Ste 750a, Baton Rouge, LA 70806-1404 | 2019-05-17 |
| 1992907075 | Clara Yajahira Davis | Military Health Care Provider | 590 Washington St, Bath, ME 04530-1934 | 2007-06-01 |
| 1952323255 | Clara Powell Davis | Dentist | 121 Sherron Rd, Suite 108, Durham, NC 27703-9515 | 2006-07-24 |
| 1154442036 | Clara Ann Davis | Driver | 210 Avenue C, Danville, IL 61832-5410 | 2007-04-02 |
| Street Address |
1719 W DUBAIL ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46613-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730330721 | Mindy Lynne Gradeless | Social Worker | 229 East Ewing Avenue, South Bend, IN 46613 | 2008-10-08 |
| 1689836405 | Staci-marie Balog Norman | Pharmacist | 760 West Cotter Street, South Bend, IN 46613 | 2008-07-02 |
| 1659386779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1945 Lincolnway East, South Bend, IN 46613 | 2006-07-29 |
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 2007-05-23 |
| 1215923313 | Gregory Matthew Ferro | Family Medicine | 1832 Prairie Ave, South Bend, IN 46613-1400 | 2005-09-23 |
| 1508330002 | Homeworks Construction Inc | Durable Medical Equipment & Medical Supplies | 1511 Pulaski St, South Bend, IN 46613-1404 | 2019-01-17 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| 1881120798 | Shakira Desavoir | Counselor | 1402 S Michigan St, South Bend, IN 46613-2214 | 2017-05-11 |
| Find all providers in zip 46613 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676024 | Kristine Willoughby | Private Vehicle | 505 S 25th St, South Bend, IN 46615-2117 | 2020-03-29 |
| 1205276706 | Divine Interventions Inc. | Private Vehicle | 424 N Frances St, Unit 17, South Bend, IN 46617-2321 | 2013-06-28 |
| 1629376504 | Wright Dream | Private Vehicle | 706 S Sheridan St, South Bend, IN 46619-2935 | 2011-03-02 |
| 1942515341 | Guaranteed Transportation Providers Incorporation | Private Vehicle | 601 W Washington St, South Bend, IN 46601-1443 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648385 | Next Journey Homecare LLC | Private Vehicle | 708 Georgia St, Gary, IN 46402-2613 | 2020-01-13 |
| 1467003095 | Connected Residential Consulting LLC | Private Vehicle | 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 | 2019-09-25 |
| 1376004812 | Kellen Mclaughlin | Private Vehicle | 715 Hollywood Ct, Whiting, IN 46394-1829 | 2019-03-27 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1023586245 | Erica Lucretia Fowler | Private Vehicle | 1317 W Delaware St, Evansville, IN 47710-1435 | 2018-11-06 |
| 1033621271 | Julie Mcgill | Private Vehicle | 3105 Beacon St, Fort Wayne, IN 46805-2447 | 2017-10-27 |
| 1902316870 | Transfiguration Enterprises, LLC | Private Vehicle | 608 E 22nd St, Indianapolis, IN 46202-1632 | 2017-10-05 |
| 1790223253 | Jsr Transportation | Private Vehicle | 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 | 2017-02-05 |
| 1841732997 | Megan Clark | Private Vehicle | 224 N East St, Lebanon, IN 46052-2224 | 2016-11-07 |
| 1477003507 | Jacquelyn Brewer | Private Vehicle | 9645 Westfield Blvd, Indianapolis, IN 46280-1771 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46613 |
Please comment or provide details below to improve the information on MRS. CLARA M DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.