<Unavail>
LBN: Dream Provider Care Services
<Unavail> is an health care organization with primary practice located at 703 N Broad Street Dream Provider Care Services, Edenton NC 27932-0703. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Dream Provider Care Services can be contacted via phone (252) 946-0585, or through Bailey, Wendee M via phone (252) 946-0585.
Contact Information
Primary practice address
703 N Broad Street Dream Provider Care Services
Edenton NC 27932-0703
Phone: (252) 946-0585
Fax: (252) 946-0580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / Community/Behavioral Health | 251S00000X | MHL007036 | North Carolina |
Profile Details
| NPI number | 1194005256 |
|---|---|
| LBN Legal business name | Dream Provider Care Services |
| DBA Doing business as | <Unavail> |
| Authorized official | Bailey, Wendee M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | May 18th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194005256 | NPPES |
| North Carolina | MEDICAID | 6005782 |
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