Healthcare Provider Details

I. General information

NPI: 1124743646
Provider Name (Legal Business Name): HOPE AND DREAMS HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S L ST
OXNARD CA
93030-6764
US

IV. Provider business mailing address

5527 BURNING TREE DR
LA CANADA FLINTRIDGE CA
91011-2860
US

V. Phone/Fax

Practice location:
  • Phone: 818-642-3668
  • Fax:
Mailing address:
  • Phone: 818-642-3668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MARILYN V NGUYEN
Title or Position: CEO/PRESIDENT
Credential: RN
Phone: 818-367-1947