Provider Demographics
NPI:1528857091
Name:DREAM AT HOME HIGH QUALITY HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:DREAM AT HOME HIGH QUALITY HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERREN
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN NURSE
Authorized Official - Phone:601-479-3792
Mailing Address - Street 1:2504 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39307-5111
Mailing Address - Country:US
Mailing Address - Phone:601-479-3792
Mailing Address - Fax:
Practice Address - Street 1:3701 8TH ST STE C
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-6083
Practice Address - Country:US
Practice Address - Phone:601-479-3792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care