Organization Active NPI

Dreams '2' Reality

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1447309380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-036154 Issued in NC
Legal business name
DREAMS '2' REALITY
Practice address
1551 Moore Dr
Gastonia, NC 28054-5533
Phone
(704) 864-8561
Fax
(704) 947-0815
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Smith, QP
Title
Ceo
Phone
(704) 968-6049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-036154 NC Primary

Addresses

Primary practice location

1551 Moore Dr
Gastonia, NC 28054-5533

Mailing address

1551 Moore Dr
Gastonia, NC 28054-5533
Phone (704) 864-8561

Other identifiers 1

IdentifierTypeStateIssuer
322D00000XMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Dreams '2' Reality2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447309380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 MOORE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545533",
            "telephone_number": "704-864-8561",
            "fax_number": "704-947-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 MOORE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545533",
            "telephone_number": "704-864-8561",
            "fax_number": "704-947-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMS '2' REALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-968-6049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-036154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322D00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.