Organization Active NPI

Dream Angels Home Health Inc

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1093302820
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DREAM ANGELS HOME HEALTH INC
Practice address
2200 Coronation Blvd Ste C
Charlotte, NC 28227-6714
Phone
(704) 246-7773
Fax
(704) 246-7778
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Annette Lavonne Alexander
Title
Director
Phone
(704) 245-7029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2200 Coronation Blvd Ste C
Charlotte, NC 28227-6714

Mailing address

2200 Coronation Blvd Ste C
Charlotte, NC 28227-6714
Phone (704) 246-7773

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Charlotte Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2200 Coronation Blvd
Ste C
Charlotte, NC 28227
Phone (704) 246-7773

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1093302820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CORONATION BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276714",
            "telephone_number": "704-246-7773",
            "fax_number": "704-246-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CORONATION BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276714",
            "telephone_number": "704-246-7773",
            "fax_number": "704-246-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM ANGELS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "LAVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-245-7029"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Coronation Blvd Ste C",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282276714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.