Provider Demographics
NPI:1134665854
Name:LITTLE BEAR HOMECARE LLC
Entity Type:Organization
Organization Name:LITTLE BEAR HOMECARE LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KASE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-356-2680
Mailing Address - Street 1:610 UPTOWN BLVD STE 4600
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3524
Mailing Address - Country:US
Mailing Address - Phone:469-356-2680
Mailing Address - Fax:469-356-2681
Practice Address - Street 1:610 UPTOWN BLVD STE 4600
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3524
Practice Address - Country:US
Practice Address - Phone:469-356-2680
Practice Address - Fax:469-356-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care