Dream Provider Care Services in Washington - Community Based Residential Treatment Facility, Mental Illness
Dream Provider Care Services - NPI 1578783460
Dream Provider Care Services is a Community Based Residential Treatment Facility, Mental Illness in Washington, North Carolina. Dream Provider Care Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Dream Provider Care Services is 1578783460. The last update date is 2020-08-22.
Dream Provider Care Services's current location address is 707 James Dr, Washington, North Carolina. You can contact this provider via phone number 2529469269. The mailing address for Dream Provider Care Services is 707 James Dr, Washington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dream Provider Care Services |
|---|---|
| Address | 707 James Dr, Washington, North Carolina |
| Phone Number | 2529469269 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bailey Marie Wendee |
| Telephone Number | 2529460585 |
NPI Number Detail
| NPI Number | 1578783460 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 707 James Dr |
|---|---|
| City | Washington |
| State | North Carolina (NC) |
| Post Code | 278893814 |
| Phone Number | 2529469269 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL007039 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603735 | NC | -- |
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What is the unique identifier code issued to Dream Provider Care Services by the Centers for Medicare & Medicaid Services?
The Dream Provider Care Services has been assigned the NPI (National Provider Identifier) 1578783460. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dream Provider Care Services's physical address?
The Dream Provider Care Services is physically located at 707 James Dr, in the city of Washington, NC, with the postal code 278893814.
What is Dream Provider Care Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dream Provider Care Services is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578783460 to Dream Provider Care Services?
The Centers for Medicare & Medicaid Services originally issued the 1578783460 to Dream Provider Care Services on 2007-04-26.
As of what date were the details related to Dream Provider Care Services most recently updated or revised?
The information pertaining to Dream Provider Care Services, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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