Provider Demographics
NPI:1841962073
Name:DREAM CARE
Entity type:Organization
Organization Name:DREAM CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIZMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOULETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-585-1840
Mailing Address - Street 1:1425 W RUNNING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2201 MURFREESBORO PIKE STE C202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3327
Practice Address - Country:US
Practice Address - Phone:615-585-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty