NPIMap

Organization Active NPI

Dream Living Services LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
National Provider Identifier
1790484657
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DREAM LIVING SERVICES LLC
Practice address
7220 28TH St S
Fargo, ND 58104-4589
Phone
(701) 213-2222
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Shankar EzomNPI 1669191979
Title
Marketing Manager
Phone
(701) 730-8269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7220 28TH St S
Fargo, ND 58104-4589

Mailing address

7220 28TH St S
Fargo, ND 58104-4589
Phone (701) 213-2222

National Provider Directory

National Provider Directory
Tax ID family
Dream Living Services LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1790484657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 28TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044589",
            "telephone_number": "701-213-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 28TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044589",
            "telephone_number": "701-213-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "EZOM",
        "authorized_official_first_name": "SHANKAR",
        "authorized_official_title_or_position": "MARKETING MANAGER",
        "authorized_official_telephone_number": "701-730-8269"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.