Provider Demographics
NPI:1417220062
Name:DREAM HOUSE INC
Entity Type:Organization
Organization Name:DREAM HOUSE INC
Other - Org Name:DREAM HOUSE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DYE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:281-570-7534
Mailing Address - Street 1:6010 N SAM HOUSTON PKWY E
Mailing Address - Street 2:#706
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3262
Mailing Address - Country:US
Mailing Address - Phone:281-570-7534
Mailing Address - Fax:832-602-2550
Practice Address - Street 1:6010 N SAM HOUSTON PKWY E
Practice Address - Street 2:# 706
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3273
Practice Address - Country:US
Practice Address - Phone:281-570-7534
Practice Address - Fax:832-602-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000775341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance