Healthcare Provider Details
I. General information
NPI: 1720419245
Provider Name (Legal Business Name): DREAM HOME CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2013
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39393 VAN DYKE AVE STE 105
STERLING HEIGHTS MI
48313-4636
US
IV. Provider business mailing address
39393 VAN DYKE AVE STE 105
STERLING HEIGHTS MI
48313-4636
US
V. Phone/Fax
- Phone: 586-457-7373
- Fax: 586-204-0155
- Phone: 586-457-7373
- Fax: 586-204-0155
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
CIERRA
BELL
Title or Position: OWNER
Credential:
Phone: 313-758-1696