Provider Demographics
NPI:1073967576
Name:INHOME CARETAKERS
Entity Type:Organization
Organization Name:INHOME CARETAKERS
Other - Org Name:BETTY DARE
Other - Org Type:Other Name
Authorized Official - Title/Position:NONEMPLOYEE DISABLED CARETAKER RENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NAUGLE
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:DARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-239-6277
Mailing Address - Street 1:406 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-3260
Mailing Address - Country:US
Mailing Address - Phone:443-239-6277
Mailing Address - Fax:
Practice Address - Street 1:406 LAKE DR
Practice Address - Street 2:
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-3260
Practice Address - Country:US
Practice Address - Phone:443-239-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD60062231336302R00000X, 320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No302R00000XManaged Care OrganizationsHealth Maintenance Organization