Active NPI
Dreamer Healthcare
- In Home Supportive Care Agency
- Springboro, OH
National Provider Identifier
1053162669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DREAMER HEALTHCARE
- Practice address
- 155 Kitty Hawk Dr
Springboro, OH 45066-8442 - Phone
- (937) 790-0822
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enyonam N Tandoh
- Title
- Ceo
- Phone
- (937) 790-0822
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
155 Kitty Hawk Dr
Springboro, OH 45066-8442
Mailing address
PO Box 873
Springboro, OH 45066-0873
Phone (937) 790-0822
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1053162669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450660873",
"telephone_number": "937-790-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 KITTY HAWK DR",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450668442",
"telephone_number": "937-790-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMER HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-31",
"status": "A",
"authorized_official_last_name": "TANDOH",
"authorized_official_first_name": "ENYONAM",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-790-0822"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.