Organization Active NPI

Dream Light Home Care, LLC.

  • Case Management Registered Nurse
  • Jamaica, NY
National Provider Identifier
1033014048
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
DREAM LIGHT HOME CARE, LLC.
Practice address
16405 Hillside Ave FL 2
Jamaica, NY 11432-4140
Phone
(917) 353-9321
Fax
(718) 799-1007
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahab Uddin Sagor
Title
Ceo
Phone
(917) 353-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X NU Primary

Addresses

Primary practice location

16405 Hillside Ave FL 2
Jamaica, NY 11432-4140

Mailing address

16405 Hillside Ave # 2
Jamaica, NY 11432-4140
Phone (917) 353-9321

Other names 1

  • Dream Light Home care, LLC. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1033014048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE # 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "917-353-9321",
            "fax_number": "718-799-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "917-353-9321",
            "fax_number": "718-799-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM LIGHT HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "SAGOR",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-353-9321"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Light Home care, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dream Light Home care, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.