Organization Active NPI

Dream Home Care, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Carson, CA
National Provider Identifier
1376091371
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
198209613 Issued in CA
Legal business name
DREAM HOME CARE, INC.
Practice address
21917 Newkirk Ave
Carson, CA 90745-3331
Phone
(562) 595-9021
Fax
(562) 427-4121
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Cora Manalang
Title
Ceo
Phone
(562) 595-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 198209613 CA Primary

Addresses

Primary practice location

21917 Newkirk Ave
Carson, CA 90745-3331

Mailing address

20695 S Western Ave Ste 132
Torrance, CA 90501-1834
Phone (424) 271-7414

Other names 1

  • Dream Home Care, Inc. I Other name

National Provider Directory

National Provider Directory
Tax ID family
Dream Home Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

20695 S Western Ave
Ste 132
Torrance, CA 90501
Phone (424) 271-7414

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1376091371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20695 S WESTERN AVE STE 132",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011834",
            "telephone_number": "424-271-7414",
            "fax_number": "424-731-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21917 NEWKIRK AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453331",
            "telephone_number": "562-595-9021",
            "fax_number": "562-427-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "MANALANG",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-595-9021"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "198209613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Home Care, Inc. I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.