Provider Demographics
NPI:1912399619
Name:DREAM CHASERS HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:DREAM CHASERS HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:ALTRINIA
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:803-371-3821
Mailing Address - Street 1:206 WHITGREEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-5124
Mailing Address - Country:US
Mailing Address - Phone:803-371-3821
Mailing Address - Fax:
Practice Address - Street 1:1002A SALUDA ST
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5748
Practice Address - Country:US
Practice Address - Phone:803-371-3821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health