Provider Demographics
NPI:1417158270
Name:REGINA LITTLE
Entity Type:Organization
Organization Name:REGINA LITTLE
Other - Org Name:TENDER CARE FOR WEE ONES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRIMARY SERVICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-843-9536
Mailing Address - Street 1:115 HELLARD RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729
Mailing Address - Country:US
Mailing Address - Phone:606-843-9536
Mailing Address - Fax:606-843-2457
Practice Address - Street 1:115 HELLARD RD
Practice Address - Street 2:
Practice Address - City:EAST BERNSTADT
Practice Address - State:KY
Practice Address - Zip Code:40729
Practice Address - Country:US
Practice Address - Phone:606-843-9536
Practice Address - Fax:606-843-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
910OtherFIRST STEPS