1121 DREAM HOME NPI 1043921109

NPI Information

NPI: 1043921109
Provider Name: 1121 DREAM HOME
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4113 BLEVINS LN
PLANO, TX
ZIP 75074
Phone: (678) 592-9861
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1121 DREAM HOME is a residential treatment facility, intellectual and/or developmental disabilities in Plano, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. 1121 DREAM HOME NPI is 1043921109. The provider is registered as an organization entity type.

The provider's business location address is:

4113 BLEVINS LN
PLANO, TX
ZIP 75074-207
Phone: (678) 592-9861

The provider's authorized official is Lestia Reese .
The authorized official title is Founder and has the following contact phone number (678) 592-9861.

The enumeration date for this NPI number is 12/9/2022 and was last updated on 12/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251E00000X	Home Health		No
3	253Z00000X	In Home Supportive Care		No
4	310400000X	Assisted Living Facility		No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
7	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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