Provider Demographics
NPI:1447743778
Name:DREAM MHS LLC
Entity Type:Organization
Organization Name:DREAM MHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALDAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:862-371-4741
Mailing Address - Street 1:2 PINE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-9513
Mailing Address - Country:US
Mailing Address - Phone:862-741-4741
Mailing Address - Fax:
Practice Address - Street 1:2 PINE CREEK DR
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-9513
Practice Address - Country:US
Practice Address - Phone:862-741-4741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Yes385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care CampGroup - Multi-Specialty
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, ChildGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child