Organization Active NPI

Dream Works Health and Wellness

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1396406948
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DREAM WORKS HEALTH AND WELLNESS
Practice address
4701 Belair Rd
Baltimore, MD 21206-5729
Phone
(410) 885-4558
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Keara Hayes
Title
Owner
Phone
(410) 885-4558

Specialties & licenses 1

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

Addresses

Primary practice location

4701 Belair Rd
Baltimore, MD 21206-5729

Mailing address

4701 Belair Rd
Baltimore, MD 21206-5729
Phone (410) 885-4558

Other identifiers 2

IdentifierTypeStateIssuer
24051558OtherMDBHA- RESIDENTIAL LICENSE NUMBER
211011685OtherMDBHA- RESIDENTIAL LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL khayes@dreamworksofmd.com

National Provider Directory

National Provider Directory
Tax ID family
Dream Works Health and Wellness LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4701 Belair Rd
Baltimore, MD 21206
Phone (410) 325-1850

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1396406948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065729",
            "telephone_number": "410-885-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065729",
            "telephone_number": "410-885-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM WORKS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KEARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-885-4558"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA- RESIDENTIAL LICENSE NUMBER",
            "identifier": "24051558",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA-  RESIDENTIAL LICENSE NUMBER",
            "identifier": "211011685",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "khayes@dreamworksofmd.com",
            "affiliation": "N",
            "address_1": "4701 Belair Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212065729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.