MEDICARE: DREAMHOUSE COMMUNITY HEALTH NETWORK 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1659226801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAMHOUSE COMMUNITY HEALTH NETWORK LLC

Provider Business Mailing Address
First Line	:	5543 N MAGNOLIA DR
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-2922
Country	:	US
Telephone Number	:	909-745-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	5543 N MAGNOLIA DR
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-2922
Country	:	US
Telephone Number	:	909-745-2488
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	TONETTE M JONES
Credential	:
Telephone Number	:	909-745-2488

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/20/2026

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