Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Elijah Davis

Individual provider Assisted Living Facility · NPI 1699928564

Mr. Elijah Davis is an Assisted Living Facility in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2008
Specialties on file
2

Practice location Address checks out

2232 Heyward Brockington Rd
Columbia, SC 29203
Phone: (803) 786-1047
Fax: (803) 714-1731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence CRC-240 (SC)
Assisted Living Facility Taxonomy 310400000X · Licence CRC-538 (SC)

Record details

NPI number1699928564
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2008
Last updated in NPPESOctober 23, 2008

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