Provider Demographics
NPI:1982854014
Name:DREAM KEEPERS INC.,
Entity Type:Organization
Organization Name:DREAM KEEPERS INC.,
Other - Org Name:DREAM KEEPERS GROUP HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-870-0562
Mailing Address - Street 1:2902 E JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3022
Mailing Address - Country:US
Mailing Address - Phone:410-870-0562
Mailing Address - Fax:410-870-0563
Practice Address - Street 1:2902 E JOPPA RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3022
Practice Address - Country:US
Practice Address - Phone:410-870-0562
Practice Address - Fax:410-870-0563
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DREAMKEEPERS INC.,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-25
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 253J00000X, 320800000X
MDSC1365251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD831503500Medicaid