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General NPI Number Information
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NPI Number | 1033014048
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Entity Type | Organization
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Legal Business Name | DREAM LIGHT HOME CARE, LLC.
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 16405 HILLSIDE AVE FL 2
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City | JAMAICA
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State | NY
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Zip | 11432-4140
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Country | US
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Telephone | 917-353-9321
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Fax | 718-799-1007
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Provider Business Mailing Address
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Address Line | 16405 HILLSIDE AVE # 2
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City | JAMAICA
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State | NY
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Zip | 11432-4140
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Country | US
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Telephone | 917-353-9321
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Fax | 718-799-1007
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Authorized Official
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Title or Position | CEO
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Name | SHAHAB UDDIN SAGOR
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Credential |
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Telephone | 917-353-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State | NULL
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