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NPI 1851165310

NPI 1851165310 : DREAM HCS LLC : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1851165310
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAM HCS LLC 
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Dates
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    Enumeration Date     |    11/14/2023
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    Last Update Date     |    11/14/2023
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Provider Practice Location Address
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    Address Line         |    7515 SPRING STUEBNER ROAD APT 235
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379
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    Country              |    US
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    Telephone            |    646-248-2756
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7515 SPRING STUEBNER ROAD APT 235
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379
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    Country              |    US
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    Telephone            |    646-248-2756
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. CHANEL NICOLE ELVIN 
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    Credential           |    
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    Telephone            |    646-248-2756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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