1121 DREAM HOME – NPI #1043921109
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1121 DREAM HOME is a residential treatment facility located in PLANO, TX. NPPES has assigned the NPI number 1043921109 to 1121 DREAM HOME on December 09, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1121 DREAM HOME below.

NPI Profile for
1121 DREAM HOME

NPI Number
1043921109
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1121 DREAM HOME
Primary location
4113 BLEVINS LN
PLANO, TX 75074
Phone: (214) 807-7006 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LESTIA NELSON
FOUNDER
Phone: (678) 592-9861
Updated
Certification Date
Dec 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
385HR2065X
- Respite Care / Respite Care, Physical Disabilities, Child
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child
315P00000X
- Intermediate Care Facility, Intellectual Disabilities
310400000X
- Assisted Living Facility
253Z00000X
- In Home Supportive Care
251E00000X
- Home Health
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
4113 BLEVINS LN,
PLANO, TX 77025-1669