1121 Dream Home is a Child Physical Disabilities Respite Care based in Plano, TX and is specialized in Respite Care, Physical Disabilities, Child. 1121 Dream Home practices in Plano, TX. The NPI Number for 1121 Dream Home is 1043921109 and holds a License No. (Texas).
The current practice location address for 1121 Dream Home is 4113 Blevins Ln, Plano, TX and can be reached out via phone at 678-592-9861. You can also correspond with 1121 Dream Home through the mailing address at 4113 BLEVINS LN, PLANO, TX - 75074-0207 (mailing address contact number: 678-592-9861).
Location: 4113 Blevins Ln, Plano, TX, 75074-0207
Provider Profile Details
NPI Number
1043921109
Provider Name
1121 Dream Home
Credential
Provider Entity Type
Organization
Address
4113 Blevins Ln, Plano, TX, 75074-0207
Phone Number
678-592-9861
Fax Number
Provider Enumeration Date
12/09/2022
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
4113 Blevins Ln
City
State
Zip
75074-0207
Phone Number
678-592-9861
Fax Number
Provider Business Mailing Address Details
Address
4113 Blevins Ln
City
State
Zip
75074-0207
Phone Number
678-592-9861
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 7
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Provider's Taxonomy Details 8
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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