Provider Demographics
NPI:1114442563
Name:LITTLE FIGHTERS, LLC
Entity Type:Organization
Organization Name:LITTLE FIGHTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-962-0395
Mailing Address - Street 1:145 FURNACE JCT
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:KY
Mailing Address - Zip Code:40472-8811
Mailing Address - Country:US
Mailing Address - Phone:704-962-0395
Mailing Address - Fax:704-509-2413
Practice Address - Street 1:1408 DELLWOOD RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-6914
Practice Address - Country:US
Practice Address - Phone:704-962-0395
Practice Address - Fax:704-509-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition