NPIMap

Organization Active NPI

Dream Provider Care Services of Louisiana Inc

  • In Home Supportive Care Agency
  • Denham Springs, LA
National Provider Identifier
1164800876
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15410 Issued in LA
Legal business name
DREAM PROVIDER CARE SERVICES OF LOUISIANA INC
Practice address
140 Aspen SQ Ste B
Denham Springs, LA 70726-5323
Phone
(225) 751-2409
Fax
(225) 751-2466
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Cristal Adams
Title
Ceo
Phone
(225) 751-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15410 LA Primary

Addresses

Primary practice location

140 Aspen SQ Ste B
Denham Springs, LA 70726-5323

Mailing address

5215 Essen LN Ste 5
Baton Rouge, LA 70809-3563
Phone (225) 751-2409

Other identifiers 1

IdentifierTypeStateIssuer
1722022MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Dream Provider Care Services of Louisiana Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1164800876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ESSEN LN STE 5",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093563",
            "telephone_number": "225-751-2409",
            "fax_number": "225-751-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ASPEN SQ STE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265323",
            "telephone_number": "225-751-2409",
            "fax_number": "225-751-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PROVIDER CARE SERVICES OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-751-2409"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "15410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722022",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.