Provider Demographics
NPI:1588377162
Name:DREAM CHASERS ALLIED HEALTH AND TRADE SCHOOL, LLC.
Entity type:Organization
Organization Name:DREAM CHASERS ALLIED HEALTH AND TRADE SCHOOL, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERREN
Authorized Official - Middle Name:
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:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No305S00000XManaged Care OrganizationsPoint of Service
No342000000XTransportation ServicesTransportation Network Company
No385H00000XRespite Care FacilityRespite Care