Active NPI
Dream Vision LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Wichita, KS
National Provider Identifier
1194170274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DREAM VISION LLC
- Practice address
- 1655 S Michelle CT
Wichita, KS 67207-6547 - Phone
- (316) 461-1823
- NPI assigned
- Apr 26, 2016
- 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
- Beatrix Mayenga
- Title
- Director
- Phone
- (316) 461-1823
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1655 S Michelle CT
Wichita, KS 67207-6547
Mailing address
1655 S Michelle CT
Wichita, KS 67207-6547
Phone (316) 461-1823
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461628800000",
"number": "1194170274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 S MICHELLE CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672076547",
"telephone_number": "316-461-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 S MICHELLE CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672076547",
"telephone_number": "316-461-1823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A",
"authorized_official_last_name": "MAYENGA",
"authorized_official_first_name": "BEATRIX",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "316-461-1823"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.