Provider Demographics
NPI:1336459809
Name:DREAM HOME CARE, INC.
Entity Type:Organization
Organization Name:DREAM HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN BENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-834-1127
Mailing Address - Street 1:12200 FORD ROAD
Mailing Address - Street 2:SUITE B332
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7244
Mailing Address - Country:US
Mailing Address - Phone:888-834-1127
Mailing Address - Fax:
Practice Address - Street 1:12200 FORD ROAD
Practice Address - Street 2:SUITE B332
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7244
Practice Address - Country:US
Practice Address - Phone:888-834-1127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care