National Provider Identifier Database

THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN INC
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.
4896 MILLER RD SW
LILBURN, GA30047-5333
Phone: 770-806-1621
Fax: 678-990-9812
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X
Case Management 251B00000X
Foster Care Agency 253J00000X
Home Health 251E00000X
Non-emergency Medical Transport (VAN) 343900000X
Nursing Care, Pediatric 3140N1450X
Respite Care, Physical Disabilities, Child 385HR2065X
Secured Medical Transport (VAN) 343800000X

* Indicates primary specialty

NPI Profile & details for THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.

NPI Number 1649584939
Legal business name
LBN
THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.
Authorized official KIM MARKS - (CHIEF PROGRAM OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/29/2010
Last updated 07/29/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 067R0725
  • GA License #: CTCC001001
  • GA Other: 513959537A GEORGIA MEDICAID/PEACH CARE FOR KIDS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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