Provider Demographics
NPI:1821110982
Name:LITTLE MIRACLES, INC.
Entity Type:Organization
Organization Name:LITTLE MIRACLES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SAYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:701-772-3851
Mailing Address - Street 1:2951 S 34TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6061
Mailing Address - Country:US
Mailing Address - Phone:701-772-3851
Mailing Address - Fax:701-772-3851
Practice Address - Street 1:2951 S 34TH ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6061
Practice Address - Country:US
Practice Address - Phone:701-772-3851
Practice Address - Fax:701-772-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND986261Q00000X
ND933261QH0700X
ND1071261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND51030Medicaid