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Deactivated NPI 1518584077 Deactivated / Inactive NPI Male Practitioner

Robert Ray Davis

In Home Supportive Care • Benton, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2020
NPI Deactivation Date October 30, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Robert Davis was a registered In Home Supportive Care practicing in Benton, AR. Throughout an active medical career spanning 4 years, Robert Davis provided care at the practice location at 1519 MULBERRY SALEM RD until profile deactivation on 2024-10-30.

Practice Location & Contact Primary Location

Practice Address

1519 Mulberry Salem Rd

Benton, AR 720198253

Telephone 5012932638

Specialty Benchmarks & Practice Insights

Comparative analytics for In Home Supportive Care in Benton, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Benton, AR (32 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

In Home Supportive Care Primary Specialty

NUCC Taxonomy Code: 253Z00000X

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2020

Technician

NPI Profile Active July 01, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2020

Registered at 1519 MULBERRY SALEM RD, BENTON, AR 720198253 (Tel: 5012932638)

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Updated Business Mailing Address July 01, 2020

Registered at 1519 MULBERRY SALEM RD, BENTON, AR 720198253 (Tel: 5012932638)

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Provider Name / Credentials Updated July 01, 2020

Recorded as ROBERT DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

In Home Supportive Care

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Initial NPI Registration & Enumeration July 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518584077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2020
Last Update: July 01, 2020
Deactivation Date: October 30, 2024

Mailing Address

1519 Mulberry Salem Rd

Benton, AR 720198253

Phone: 5012932638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.