THEODORE CARL DREAM CENTER (NPI# 1912343690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912343690 |
| Entity Type | Organization |
| Organization Name | THEODORE CARL DREAM CENTER |
| Practice Address |
5 Enwood St Battle Creek MI 49014-4317 |
| Practice Telephone | 2699621337 |
| Practice Fax Number | 2699621364 |
| Mailing Telephone | 2699621337 |
| Mailing Fax Number | 2699621364 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | MRS. JACKIE A. TEUNESSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2698386528 |
| Authorized Official Credential | D.D., M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
130118 | MI | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 130118 | MI | Residential Treatment Facilities |
| Street Address |
5 ENWOOD ST |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49014-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702315 | Adl Home Care Inc | Home Health | 7175 Tower Rd Suite B, Battle Creek, MI 49014 | 2017-07-14 |
| 1245606482 | Janet Lee Williams | Licensed Practical Nurse | 118 Taft St., Battle Creek, MI 49014 | 2015-08-11 |
| 1780072934 | Wattles Park Family Practice II PC | Family Medicine | 1125 E Michigan Avenue, Battle Creek, MI 49014 | 2014-12-22 |
| 1306193602 | Comforts of Home Counseling & Care Management LLC | Social Worker | 391 S Shore Dr Ste 214, Battle Creek, MI 49014 | 2012-08-07 |
| 1356607279 | Joseph Anthony Derose | Dentist | 131 North Avenue, Battle Creek, MI 49014 | 2012-04-04 |
| 1982903696 | Doubleday's Spine & Brain of Southwest Michigan Pllc | Chiropractor | 601 South Shore Drive, Suite 121, Battle Creek, MI 49014 | 2011-03-21 |
| 1497076228 | Ayn Shipe | Mechanotherapist | 18360 9 1/2 Mile Road, Battle Creek, MI 49014 | 2010-06-16 |
| 1073777397 | Aaron Matthew Drake | Pharmacist | 1250 East Columbia Avenue, Suite B, Battle Creek, MI 49014 | 2008-07-16 |
| 1063506558 | Jeromy John Myers | Chiropractor | 1250 E Columbia Ave, Battle Creek, MI 49014 | 2006-10-02 |
| 1700327194 | Michelle Tanner | Counselor | 155 Garfield Ave, Battle Creek, MI 49014 | 2017-03-17 |
| Find all providers in zip 49014 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957542 | A Forever Recovery | Substance Abuse Rehabilitation Facility | 216 St Marys Lake Rd, Battle Creek, MI 49017-9710 | 2008-10-15 |
| 1245584150 | A Forever Recovery | Substance Abuse Rehabilitation Facility | 163 North Ave, Battle Creek, MI 49017-3426 | 2012-10-30 |
| 1609129006 | Best Drug Rehabilitation | Substance Abuse Rehabilitation Facility | 163 North Ave, Battle Creek, MI 49017-3426 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE CREEK |
| Zip Code | 49014 |
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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.