DA DIP FOUNDATION (NPI# 1205121894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205121894 |
| Entity Type | Organization |
| Organization Name | DA DIP FOUNDATION |
| Practice Address |
8964 Habersham Dr Jonesboro GA 30238-4446 |
| Practice Telephone | 5045799215 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | MR. ERIC HENRY TIMMONS SR. (CEO / PRESIDENT) |
| Authorized Official Telephone | 5045799215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | GA | Transportation Services | |
| N | 347E00000X | Transportation Broker | GA | Transportation Services | |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | GA | Transportation Services |
| Street Address |
8964 HABERSHAM DR |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205276763 | A2bee Transportation LLC | Private Vehicle | 8964 Habersham Dr, Jonesboro, GA 30238 | 2013-06-28 |
| 1629416060 | Eric Timmons Sr. | Driver | 8964 Habersham Dr, Jonesboro, GA 30238-4446 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| Find all providers in zip 30238 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1124674866 | Tracie Cogdell | Non-emergency Medical Transport (VAN) | 217 Arrowhead Blvd Bldg Suite2a, Jonesboro, GA 30236-1169 | 2019-08-16 |
| 1255991444 | Safe Drive Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2210 Brazos St, Jonesboro, AR 72401-6303 | 2019-06-19 |
| 1043784325 | 404 Transport, LLC | Non-emergency Medical Transport (VAN) | 1560b Commercial Ct, Jonesboro, GA 30238-6500 | 2019-01-19 |
| 1487123626 | Peniel Collective LLC | Non-emergency Medical Transport (VAN) | 131 Eden Cir, Jonesboro, LA 71251-5737 | 2018-11-16 |
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1366899635 | Larry Bryant | Non-emergency Medical Transport (VAN) | 8124 Tucker Rd, Jonesboro, GA 30238-2189 | 2016-05-17 |
| 1578951877 | Van Dorn's Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 2007 Pine Forest Ct, Jonesboro, GA 30236-5417 | 2015-01-08 |
| 1487077517 | Help Foundation Inc. | Non-emergency Medical Transport (VAN) | 1934 Spivey Village Cir, Jonesboro, GA 30236-3849 | 2014-01-24 |
| 1528362555 | Karibuni, LLC | Non-emergency Medical Transport (VAN) | 9118 Snipe Ln, Jonesboro, GA 30236-5162 | 2011-01-05 |
| Find all providers in JONESBORO | ||||
Please comment or provide details below to improve the information on DA DIP FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.