NPIMap

Organization Active NPI

Our Dream Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Washington, MD
National Provider Identifier
1720754518
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OUR DREAM HOME
Practice address
4305 Cinibar CT
Fort Washington, MD 20744-1212
Phone
(240) 286-3182
NPI assigned
Aug 20, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DEVOTED AND PRUDENT HEALTHCARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Ify Gera Ede-Brown
Title
President
Phone
(240) 286-3182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

4305 Cinibar CT
Fort Washington, MD 20744-1212

Mailing address

4305 Cinibar CT
Fort Washington, MD 20744-1212
Phone (240) 286-3182

National Provider Directory

National Provider Directory
Tax ID family
Our Dream Home2 organizations share this tax ID, including this one
Part of
Our Dream Home

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1720754518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 CINIBAR CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441212",
            "telephone_number": "240-286-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 CINIBAR CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441212",
            "telephone_number": "240-286-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR DREAM HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVOTED AND PRUDENT HEALTHCARE SERVICES LLC",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "EDE-BROWN",
        "authorized_official_first_name": "IFY",
        "authorized_official_middle_name": "GERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-286-3182"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.