=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154283828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DLS HOME & MEDICAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2310 SE 2ND ST STE 4
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33435-7280
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-868-0128
-----------------------------------------------------
Fax | 800-961-5156
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2310 SE 2ND ST STE 4
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33435-7280
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-868-0128
-----------------------------------------------------
Fax | 800-961-5156
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | DESHANNON L. SHERMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-868-0128
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------