Dream Alive LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DREAM ALIVE LLC

Practice address

12521 W Corrine Dr
El Mirage, AZ 85335-6213

Phone

(480) 652-0718

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josephina A TheilNPI 1487376851

Title

Owner

Phone

(480) 652-0718

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, and the practitioner matching its NPPES authorized official.

• Josephina Anghear Theil Sr.

  • Home Health Agency
  • El Mirage, AZ
  • NPI 1487376851
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1982324695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 W CORRINE DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356213",
            "telephone_number": "480-652-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12521 W CORRINE DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356213",
            "telephone_number": "480-652-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM ALIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "THEIL",
        "authorized_official_first_name": "JOSEPHINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-652-0718"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Daugherty, SLP
• Jamaal Wayne Dean Jr.
• Desert Lakes Counseling LLC
• Desmale Social Services
• Aimee Cathrine Dolejs, CERTIFIED SCHOOL PSY
• Drive Safe LLC
• Dysart Unified School District
• El Mirage Dental Partners LLC (Risas Dental and Braces)
• El Mirage Dentistry (Classical Dentistry)
• El Mirage Emergency Room and Medical Center

• Home Health Agency in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.