Ultimate Dream Healthcare LLC
NPI 1396626842ActiveOrganization· Licensed Practical Nurse· Saint Louis, MO
Licensed Practical Nurse in Saint Louis, Missouri, registered in NPPES in September 2025. The authorized official on file is Taiyonna Blackmon, LPN, Owner.
Overview
| NPI | 1396626842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2025 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | — | — |
| Home Health Aide | 374U00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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