Provider Demographics
NPI:1932650942
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
Authorized Official - Prefix:
Authorized Official - First Name:CORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANALANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-595-9021
Mailing Address - Street 1:3939 ATLANTIC AVE STE 213
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3535
Mailing Address - Country:US
Mailing Address - Phone:562-269-0393
Mailing Address - Fax:562-427-4121
Practice Address - Street 1:3590 GAVIOTA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4922
Practice Address - Country:US
Practice Address - Phone:562-595-9021
Practice Address - Fax:562-427-4121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency