Healthcare Provider Details

I. General information

NPI: 1003600974
Provider Name (Legal Business Name): A PLACE TO STAY DE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 CAROL ST
DOVER DE
19904-2821
US

IV. Provider business mailing address

364 E MAIN ST STE 324
MIDDLETOWN DE
19709-1482
US

V. Phone/Fax

Practice location:
  • Phone: 302-685-7810
  • Fax:
Mailing address:
  • Phone: 302-685-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. NAKESHA BARBER
Title or Position: CEO
Credential:
Phone: 267-815-4132