Dream Adult Family Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0016244 Issued in WI

Legal business name

DREAM ADULT FAMILY HOMES LLC

Practice address

8027 W Beckett Ave
Milwaukee, WI 53218-4626

Phone

(414) 202-1974

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Derrek Carter Sr., LPNNPI 1558807735

Title

Executive Director

Phone

(414) 202-1974

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derrek Carter Sr., LPN

  • Licensed Practical Nurse
  • Milwaukee, WI
  • NPI 1558807735
  NPD (past) Authorized official

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1902342058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 W BECKETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184626",
            "telephone_number": "414-202-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 W BECKETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184626",
            "telephone_number": "414-202-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM ADULT FAMILY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DERREK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-202-1974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WI",
            "license": "0016244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Draves, MS
• Karla Jean Draves, C.O.T.A.
• Patrick Christopher Drayna, MD
• Ruth Drazewski, CNS
• Dream & Empower Connection Center LLC
• Dream Team Transit LLC
• Stephanie M Dreher, MD
• Kristina Drehobl, MD
• Jodi Leigh Dreier, APNP
• James Dreifuerst, PHARMD

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.