Provider Demographics
NPI:1609286228
Name:A LITTLE LOVE
Entity Type:Organization
Organization Name:A LITTLE LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAQUINTA
Authorized Official - Middle Name:TOMARA
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-314-8318
Mailing Address - Street 1:3877 WINCHESTER RD STE 6B
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6055
Mailing Address - Country:US
Mailing Address - Phone:901-318-8318
Mailing Address - Fax:901-435-6574
Practice Address - Street 1:3877 WINCHESTER RD STE 6B
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6055
Practice Address - Country:US
Practice Address - Phone:901-318-8318
Practice Address - Fax:901-435-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000014357251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care