Organization Active NPI

Dream Support, Inc

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1619367331
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DREAM SUPPORT, INC
Practice address
2701 N Rocky Point Dr
Suite 178
Tampa, FL 33607-5917
Phone
(813) 961-2500
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mr. Steve Banales
Title
Ceo
Phone
(813) 810-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2701 N Rocky Point Dr
Suite 178
Tampa, FL 33607-5917

Mailing address

2701 N Rocky Point Dr
Suite 178
Tampa, FL 33607-5917
Phone (813) 961-2500

Other identifiers 1

IdentifierTypeStateIssuer
004636700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2701 N Rocky Point Dr
Ste 178
Tampa, FL 33607
Phone (813) 961-2500

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1619367331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR",
            "address_2": "SUITE 178",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075917",
            "telephone_number": "813-961-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR",
            "address_2": "SUITE 178",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075917",
            "telephone_number": "813-961-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SUPPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "BANALES",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-810-2494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004636700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.