MEDICARE: DREAMWEAVER ENTERPRISES 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	373H00000X	Day Training/Habilitation Specialist
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1770459091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAMWEAVER ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	3184 LAUREL RIDGE CIR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1839
Country	:	US
Telephone Number	:	561-460-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	3184 LAUREL RIDGE CIR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1839
Country	:	US
Telephone Number	:	561-460-2280
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SUPERVISOR
Name	:	RODERICK LESTER
Credential	:
Telephone Number	:	561-460-2280

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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