Active NPI
Dream Makers Assisted Living Services, LLC..
- Developmentally Disabled Services Day Training Agency
- Winston Salem, NC
National Provider Identifier
1427111384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- DREAM MAKERS ASSISTED LIVING SERVICES, LLC..
- Practice address
- 4265 Brownsboro Rd
Suite 206
Winston Salem, NC 27106-3425 - Phone
- (336) 300-0370
- Fax
- (336) 464-2225
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stanley Winfred Transou
- Title
- Partner
- Phone
- (336) 300-0370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
4265 Brownsboro Rd
Suite 206
Winston Salem, NC 27106-3425
Mailing address
6 W Hemstead St
Lexington, NC 27292-2696
Phone (336) 300-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409687 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
4265 Brownsboro Rd
Ste 206
Winston Salem, NC 27106
Phone (336) 300-0370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343088000000",
"number": "1427111384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 W HEMSTEAD ST",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272922696",
"telephone_number": "336-300-0370",
"fax_number": "336-464-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 BROWNSBORO RD",
"address_2": "SUITE 206",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063425",
"telephone_number": "336-300-0370",
"fax_number": "336-464-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM MAKERS ASSISTED LIVING SERVICES, LLC..",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2012-07-24",
"status": "A",
"authorized_official_last_name": "TRANSOU",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "WINFRED",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "336-300-0370",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409687",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.