MEDICARE: DREAMS HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1013364413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAMS HOME CARE, LLC

Provider Business Mailing Address
First Line	:	8270 WOODLAND CENTER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2401
Country	:	US
Telephone Number	:	813-658-6220
Fax Number	:	813-658-6219

Provider Business Practice Location Address
First Line	:	8270 WOODLAND CENTER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2401
Country	:	US
Telephone Number	:	813-658-6220
Fax Number	:	813-658-6219

Authorized Official
Title or Position	:	OWNER
Name	:	DIANELYS VELOZ
Credential	:
Telephone Number	:	813-658-6220

Provider Enumeration Date	:	05/16/2016
Last Update Date	:	05/16/2016

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