Healthcare Provider Details

I. General information

NPI: 1437663861
Provider Name (Legal Business Name): DREAM LAND HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3213 IH 30 STE 304
MESQUITE TX
75150-2695
US

IV. Provider business mailing address

3213 IH 30 STE 304
MESQUITE TX
75150-2695
US

V. Phone/Fax

Practice location:
  • Phone: 469-264-4376
  • Fax: 214-594-7679
Mailing address:
  • Phone: 469-264-4376
  • Fax: 214-594-7679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: RITA AGU
Title or Position: ADMINISTRATOR
Credential:
Phone: 469-264-4376