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NPI Code Detail

MEDICARE: HMA DREAM CARE, LLC

MEDICARE: HMA DREAM CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2376K00000XNurse's Aide
3385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1306683222
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMA DREAM CARE, LLC
Provider Business Mailing Address
First Line : 2301 HAYES ROAD
Second Line : APT. #7510
City : HOUSTON
State : TX
Zip : 77077
Country : US
Telephone Number : 832-907-2022
Fax Number :
Provider Business Practice Location Address
First Line : 2301 HAYES ROAD
Second Line : APT. #7510
City : HOUSTON
State : TX
Zip : 77077
Country : US
Telephone Number : 832-907-2022
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MS. ADETOLA AKANDE
Credential :
Telephone Number : 832-907-2022
Provider Enumeration Date : 07/09/2024
Last Update Date : 07/09/2024

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