Provider Demographics
NPI:1518179704
Name:LITTLE ENGINE HOMECARE INC.
Entity Type:Organization
Organization Name:LITTLE ENGINE HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT-ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PRATT JR.
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:210-692-0222
Mailing Address - Street 1:3201 CHERRY RIDGE ST
Mailing Address - Street 2:SUITE D-400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4823
Mailing Address - Country:US
Mailing Address - Phone:210-692-0223
Mailing Address - Fax:210-692-0223
Practice Address - Street 1:3201 CHERRY RIDGE ST
Practice Address - Street 2:SUITE D-400
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4823
Practice Address - Country:US
Practice Address - Phone:210-692-0222
Practice Address - Fax:210-692-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011059251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011059OtherHOME HEALTH LICENSE