Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ultimate Dream Healthcare LLC

Organization Licensed Practical Nurse · NPI 1396626842

Ultimate Dream Healthcare LLC is a Licensed Practical Nurse in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1409 Washington Ave Ste 408
Saint Louis, MO 63103-1917
Phone: (314) 410-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1396626842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taiyonna Blackmon — Owner · (314) 410-9117
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1409 Washington Ave Ste 408, Saint Louis, MO 63103-1917

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