Provider Demographics
NPI:1205416062
Name:A LITTLE ASSISTED LIVING
Entity Type:Organization
Organization Name:A LITTLE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMISHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-960-1202
Mailing Address - Street 1:7716 S CREGIER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4610
Mailing Address - Country:US
Mailing Address - Phone:773-960-1202
Mailing Address - Fax:
Practice Address - Street 1:7716 S CREGIER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649
Practice Address - Country:US
Practice Address - Phone:773-960-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care