Dream Care, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DREAM CARE, LLC

Practice address

9450 Alcosta Blvd
San Ramon, CA 94583-3930

Phone

(925) 828-8838

Fax

(925) 828-8838

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Dennisa Ellen Squire

Title

Administrator

Phone

(925) 216-8839

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Terrace Doing business as

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992837439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 ALCOSTA BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833930",
            "telephone_number": "925-828-8838",
            "fax_number": "925-828-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 ALCOSTA BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833930",
            "telephone_number": "925-828-8838",
            "fax_number": "925-828-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "DENNISA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-216-8839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.