Healthcare Provider Details

I. General information

NPI: 1801771050
Provider Name (Legal Business Name): C &H DREAM MAKERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19533 N LELAND RD
MARICOPA AZ
85138-5797
US

IV. Provider business mailing address

19533 N LELAND RD
MARICOPA AZ
85138-5797
US

V. Phone/Fax

Practice location:
  • Phone: 520-840-4472
  • Fax:
Mailing address:
  • Phone: 520-840-4472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. LORAINE EVETTE CONLEY
Title or Position: CHIEF EXECTIVE OFFICER
Credential:
Phone: 520-840-4472