Organization Active NPI

Suzy Dream Home Care Agency LLC

  • Foster Care Agency
  • Brockton, MA
National Provider Identifier
1528816121
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
SUZY DREAM HOME CARE AGENCY LLC
Practice address
250R Belmont St
Brockton, MA 02301-5150
Phone
(774) 223-8801
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Maria TavaresNPI 1235595158
Title
Owner
Phone
(774) 223-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

250R Belmont St
Brockton, MA 02301-5150

Mailing address

250R Belmont St
Brockton, MA 02301-5150

National Provider Directory

National Provider Directory

Locations

250 Belmont St
#R
Brockton, MA 02301
Phone (347) 824-3760

Practitioners & affiliated clinicians

Practitioners 1

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": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1528816121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250R BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250R BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015150",
            "telephone_number": "774-223-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZY DREAM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-223-8801"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.