Provider Demographics
NPI:1669187530
Name:INSPIRED DREAMER HOME HEALTHCARE INC
Entity type:Organization
Organization Name:INSPIRED DREAMER HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:N
Authorized Official - Last Name:NFONTOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-639-1432
Mailing Address - Street 1:922 8TH ST APT 205
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1216
Mailing Address - Country:US
Mailing Address - Phone:515-639-1432
Mailing Address - Fax:877-471-1572
Practice Address - Street 1:922 8TH ST APT 205
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1216
Practice Address - Country:US
Practice Address - Phone:515-639-1432
Practice Address - Fax:877-471-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health