Provider Demographics
NPI:1598558215
Name:OUR HEROES DREAMS
Entity type:Organization
Organization Name:OUR HEROES DREAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-381-2853
Mailing Address - Street 1:15130 SHERWOOD FOREST RD
Mailing Address - Street 2:
Mailing Address - City:OAK RUN
Mailing Address - State:CA
Mailing Address - Zip Code:96069-9529
Mailing Address - Country:US
Mailing Address - Phone:844-643-8387
Mailing Address - Fax:844-643-8387
Practice Address - Street 1:15130 SHERWOOD FOREST RD
Practice Address - Street 2:
Practice Address - City:OAK RUN
Practice Address - State:CA
Practice Address - Zip Code:96069-9529
Practice Address - Country:US
Practice Address - Phone:844-643-8387
Practice Address - Fax:844-643-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable