Healthcare Provider Details
I. General information
NPI: 1407721228
Provider Name (Legal Business Name): ONE OF US DREAMERZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 MANOR RD
PATERSON NJ
07514-1319
US
IV. Provider business mailing address
8 MANOR RD
PATERSON NJ
07514-1319
US
V. Phone/Fax
- Phone: 862-600-2753
- Fax:
- Phone: 862-600-2753
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICHOLAS
RAYMOND
MAURO
Title or Position: CEO/FOUNDER
Credential:
Phone: 862-600-2753