Provider Demographics
NPI:1922302694
Name:DARE TO DREAM ATTENDANT SERVICES
Entity Type:Organization
Organization Name:DARE TO DREAM ATTENDANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:WEILER
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:510-350-8742
Mailing Address - Street 1:1757 ALCATRAZ AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2741
Mailing Address - Country:US
Mailing Address - Phone:510-350-8742
Mailing Address - Fax:510-350-8781
Practice Address - Street 1:1757 ALCATRAZ AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2741
Practice Address - Country:US
Practice Address - Phone:510-350-8742
Practice Address - Fax:510-350-8781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1000045119251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health