NPIMap

Organization Active NPI

Dream Team of la, Inc.

  • Home Health Agency
  • Mandeville, LA
National Provider Identifier
1396960126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6843 Issued in LA
Legal business name
DREAM TEAM OF LA, INC.
Practice address
1461 N Causeway Blvd
Ste. 12
Mandeville, LA 70471-3117
Phone
(985) 727-2620
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shirley Oriano
Title
Executive Director
Phone
(985) 727-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6843 LA Primary

Addresses

Primary practice location

1461 N Causeway Blvd
Ste. 12
Mandeville, LA 70471-3117

Mailing address

1461 N Causeway Blvd
Ste. 12
Mandeville, LA 70471-3117
Phone (985) 727-2620

Other identifiers 1

IdentifierTypeStateIssuer
1408191MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Dream Team of la Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1461 N Causeway Blvd
Ste 12
Mandeville, LA 70471
Phone (985) 727-2620

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396960126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 N CAUSEWAY BLVD",
            "address_2": "STE. 12",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713117",
            "telephone_number": "985-727-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 N CAUSEWAY BLVD",
            "address_2": "STE. 12",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713117",
            "telephone_number": "985-727-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM OF LA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORIANO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-727-2620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "6843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1408191",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.