The Dream House For Medically Fragile Children, Inc.

LBN: The Dream House For Medically Fragile Children, Inc.
The Dream House For Medically Fragile Children, Inc. is an health care organization with primary practice located at 4896 Miller Rd Sw , Lilburn GA 30047-5333. The organization recently has 8 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Nursing Care, Agencies / Foster Care Agency, Nursing & Custodial Care Facilities / Nursing Care, Pediatric, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Nursing Care is the primary health care specialty. The Dream House For Medically Fragile Children, Inc. can be contacted via phone (770) 806-1621, or through Marks, Kim via phone (770) 717-7410.

Contact Information

Primary practice address
4896 Miller Rd Sw Lilburn GA 30047-5333
Phone: (770) 806-1621
Fax: (678) 990-9812
Website:
Map and Directions
Authorized official contact:
Name: Marks, Kim
Phone: (770) 717-7410

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X CTCC001001 Georgia
Agencies / Case Management 251B00000X 067R0725 Georgia
Agencies / Home Health 251E00000X 067R0725 Georgia
Agencies / Nursing Care 251J00000X CTCC001001 Georgia
Agencies / Nursing Care 251J00000X 067R0725 Georgia
Agencies / Foster Care Agency 253J00000X CTCC001001 Georgia
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X CTCC001001 Georgia
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 067R0725 Georgia
Transportation Services / Secured Medical Transport (VAN) 343800000X 067R0725 Georgia
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X CTCC001001 Georgia
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X CTCC001001 Georgia

Profile Details

NPI number 1649584939
LBN Legal business name The Dream House For Medically Fragile Children, Inc.
DBA Doing business as
Authorized official Marks, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2010
Last updated Jul 29th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649584939 NPPES
Georgia Other 513959537A GEORGIA MEDICAID/PEACH CARE FOR KIDS

Popular Providers