DREAM HAVEN LLC (NPI# 1710302971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710302971 |
Entity Type | Organization |
Organization Name | DREAM HAVEN LLC |
Practice Address |
233 E Morrison St Edgerton OH 43517-9302 |
Practice Telephone | 4192983377 |
Mailing Telephone | 4192983377 |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-02-25 |
Authorized Official Name | PEGGE SINES (OWNER) |
Authorized Official Telephone | 4192983377 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
04-2260 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ADULT CARE FACILITIY | 04-2260 | 01 |
Street Address |
233 E MORRISON ST |
City | EDGERTON |
State | OH |
Zip Code | 43517-9302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366867681 | Pegge Sines | Clinic/Center | 233 E Morrison St, Edgerton, OH 43517-9302 | 2014-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508492687 | Lori D Carteyn | Home Health Aide | 01901 C 50, Edgerton, OH 43517 | 2020-03-20 |
1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
1245518927 | Jessica L Slattery | Nurse Practitioner | 104 S West Street, Edgerton, OH 43517 | 2011-07-28 |
1871706861 | Jeffrey Thomas Snyder | Specialist/Technologist | Edgerton High School, 111 East River Street, Edgerton, OH 43517 | 2007-05-07 |
1164542593 | Midwest Community Health Associates | Family Medicine | 324 W. Vine Street, Edgerton, OH 43517 | 2007-03-30 |
1508864380 | Michael Kooistra Jr. | Family Medicine | 104 South West St., Edgerton, OH 43517 | 2005-07-14 |
1194150680 | All Heart Home Care LLC | In Home Supportive Care | 143 N Michigan Ave, Edgerton, OH 43517-9322 | 2013-09-04 |
1376710525 | Howard J Aube | Dentist | 127 N Michigan Ave, Edgerton, OH 43517-9322 | 2008-05-15 |
1174779912 | Belinda Sue Robertson | Pharmacist | 9294 State Route 249, Edgerton, OH 43517-9556 | 2008-08-12 |
1619990736 | John Stanley Casbere | Chiropractor | 113 W Lynn St, Edgerton, OH 43517-9597 | 2006-07-26 |
Find all providers in zip 43517 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366867681 | Pegge Sines | Clinic/Center | 233 E Morrison St, Edgerton, OH 43517-9302 | 2014-02-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.