NPI 1194415802 · live from the CMS NPI Registry
A.E.S Dreamworks,LLC
In Home Supportive Care in Monroe, NC. National Provider Identifier 1194415802, active.
NPI record
| NPI | 1194415802 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 1251 Stafford St Unit 101, Monroe, NC 28110 |
| Practice phone | 980-425-7917 |
| Mailing address | 4904 Christopher Run Dr, Monroe, NC 28112 |
| Enumerated | May 8, 2023 |
| Last updated | May 8, 2023 |
| Authorized official | Lashaun Roseborough-White, Owner |
| Other names | A.E.S Dreamworks,LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Respite Care | 385H00000X | — |
| Local Education Agency (LEA) | 251300000X | — |
| Home Health | 251E00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.