Provider Demographics
NPI:1396172847
Name:DABARS PLACE COMPANY
Entity type:Organization
Organization Name:DABARS PLACE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-428-0522
Mailing Address - Street 1:8025 WOODGATE CT
Mailing Address - Street 2:UNIT E
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3763
Mailing Address - Country:US
Mailing Address - Phone:240-428-0522
Mailing Address - Fax:443-272-7003
Practice Address - Street 1:8025 WOODGATE CT
Practice Address - Street 2:UNIT E
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3763
Practice Address - Country:US
Practice Address - Phone:240-428-0522
Practice Address - Fax:443-272-7003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DABARS PLACE COMANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle