Provider Demographics
NPI:1467144790
Name:LITTLE LOVE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:LITTLE LOVE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PEYTON
Authorized Official - Middle Name:AUTUMN
Authorized Official - Last Name:BRITO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:774-521-4305
Mailing Address - Street 1:110 CITY VIEW CT NE UNIT 23
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2403
Mailing Address - Country:US
Mailing Address - Phone:774-521-4305
Mailing Address - Fax:
Practice Address - Street 1:6256 PHILLIPS LAKE CV
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3932
Practice Address - Country:US
Practice Address - Phone:774-521-4305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health