Dream Provider Care Services

LBN: Dream Provider Care Services
Dream Provider Care Services is an health care organization with primary practice located at 707 James Dr , Washington NC 27889-3814. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Dream Provider Care Services can be contacted via phone (252) 946-9269, or through Bailey, Wendee Marie via phone (252) 946-0585.

Contact Information

Primary practice address
707 James Dr Washington NC 27889-3814
Phone: (252) 946-9269
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Wendee Marie
Phone: (252) 946-0585

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL007039 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL007039 North Carolina

Profile Details

NPI number 1578783460
LBN Legal business name Dream Provider Care Services
DBA Doing business as
Authorized official Bailey, Wendee Marie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578783460 NPPES
North Carolina MEDICAID 6603735

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