Organization Active NPI

Dream Creative Opportunities LLC

  • Adult Day Care Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1083120125
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DREAM CREATIVE OPPORTUNITIES LLC
Practice address
21250 Harper Ave
Saint Clair Shores, MI 48080-2221
Phone
(313) 758-1696
NPI assigned
Dec 27, 2017
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cierra Bell
Title
Owner
Phone
(313) 758-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

21250 Harper Ave
Saint Clair Shores, MI 48080-2221

Mailing address

21250 Harper Ave
Saint Clair Shores, MI 48080-2221
Phone (313) 758-1696

National Provider Directory

National Provider Directory

Locations

21250 Harper Ave
Saint Clair Shores, MI 48080
Phone (313) 758-1696

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1083120125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802221",
            "telephone_number": "313-758-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802221",
            "telephone_number": "313-758-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CREATIVE OPPORTUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "CIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-758-1696"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.