NPIMap

Organization Active NPI

Dream Provider Care Services, Inc.

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
National Provider Identifier
1083184253
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DREAM PROVIDER CARE SERVICES, INC.
Doing business as
Dream Provider Care Services, Inc.
Practice address
3060 Sunset Ave
Rocky Mount, NC 27804-3647
Phone
(252) 946-0585
Fax
(252) 946-0580
NPI assigned
Nov 30, 2018
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Adreanne Turner
Title
Executive Director
Phone
(252) 946-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3060 Sunset Ave
Rocky Mount, NC 27804-3647

Mailing address

216 Stewart Pkwy
Washington, NC 27889-4972
Phone (252) 946-0585

Other identifiers 1

IdentifierTypeStateIssuer
6005782MedicaidNC

Other names 1

  • Dream Provider Care Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dream Provider Care Services Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

3060 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6802

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1083184253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STEWART PKWY",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894972",
            "telephone_number": "252-946-0585",
            "fax_number": "252-946-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-946-0585",
            "fax_number": "252-946-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PROVIDER CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ADREANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-946-0585"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005782",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Provider Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dream Provider Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.