1121 Dream Home

LBN: 1121 Dream Home
1121 Dream Home is an health care organization with primary practice located at 4113 Blevins Ln , Plano TX 75074-0207. The organization recently has 8 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. 1121 Dream Home can be contacted via phone (678) 592-9861, or through Reese, Lestia via phone (678) 592-9861.

Contact Information

Primary practice address
4113 Blevins Ln Plano TX 75074-0207
Phone: (678) 592-9861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reese, Lestia
Phone: (678) 592-9861

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1043921109
LBN Legal business name 1121 Dream Home
DBA Doing business as
Authorized official Reese, Lestia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2022
Last updated Dec 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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