MEDICARE: DREAM BUILDERS CARE HOME, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1003754847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAM BUILDERS CARE HOME, LLC

Provider Business Mailing Address
First Line	:	110 DAVENPORT DR
Second Line	:
City	:	RAEFORD
State	:	NC
Zip	:	28376-5425
Country	:	US
Telephone Number	:	843-337-9488
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 DAVENPORT DR
Second Line	:
City	:	RAEFORD
State	:	NC
Zip	:	28376-5425
Country	:	US
Telephone Number	:	843-337-9488
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	BRITTNEY SUGGS
Credential	:
Telephone Number	:	843-337-9488

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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