Provider Demographics
NPI:1942912613
Name:DREAM HOMECARE LLC
Entity Type:Organization
Organization Name:DREAM HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NELLIZIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKONJI TRIBBETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-210-8756
Mailing Address - Street 1:550 LIBERTY ST APT 3009
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-7389
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 LIBERTY ST APT 3009
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7389
Practice Address - Country:US
Practice Address - Phone:857-210-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care