Healthcare Provider Details

I. General information

NPI: 1740352822
Provider Name (Legal Business Name): THE DREAM WORKS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 N 5TH ST
KANSAS CITY KS
66101-2305
US

IV. Provider business mailing address

1119 N 5TH ST
KANSAS CITY KS
66101-2305
US

V. Phone/Fax

Practice location:
  • Phone: 913-281-8695
  • Fax: 913-281-8699
Mailing address:
  • Phone: 913-281-8695
  • Fax: 913-281-8699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA105034
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. EDGAR H. MCINNIS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 913-281-8695