Provider Demographics
NPI:1134507361
Name:DREAMSCAPE HOME CARE SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:DREAMSCAPE HOME CARE SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:KOH
Authorized Official - Last Name:MONTANCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-660-4095
Mailing Address - Street 1:5439 E COLBY ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-7339
Mailing Address - Country:US
Mailing Address - Phone:480-629-5668
Mailing Address - Fax:480-629-5668
Practice Address - Street 1:5439 E COLBY ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-7339
Practice Address - Country:US
Practice Address - Phone:480-629-5668
Practice Address - Fax:480-629-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19801151251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health