Provider Demographics
NPI:1740963974
Name:LITTLE LOVE CARE LLC.
Entity type:Organization
Organization Name:LITTLE LOVE CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR SUPERVISIOR
Authorized Official - Prefix:
Authorized Official - First Name:KAMERA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-459-1895
Mailing Address - Street 1:35 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-4135
Mailing Address - Country:US
Mailing Address - Phone:609-459-1895
Mailing Address - Fax:
Practice Address - Street 1:35 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-4135
Practice Address - Country:US
Practice Address - Phone:609-459-1895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty