Healthcare Provider Details

I. General information

NPI: 1700740156
Provider Name (Legal Business Name): DREAM FAMILY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 MONROE CREEK DR
MIDWAY FL
32343-2212
US

IV. Provider business mailing address

13 MONROE CREEK DR
MIDWAY FL
32343-2212
US

V. Phone/Fax

Practice location:
  • Phone: 850-570-6551
  • Fax:
Mailing address:
  • Phone: 850-570-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TANGELY MAXWELL
Title or Position: OWNER
Credential:
Phone: 850-570-6551