Provider Demographics
NPI:1821539974
Name:A LITTLE SOMETHING EXXTRA LLC
Entity Type:Organization
Organization Name:A LITTLE SOMETHING EXXTRA LLC
Other - Org Name:ELITE CARE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-903-1330
Mailing Address - Street 1:8536 CROW DR STE 215
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1900
Mailing Address - Country:US
Mailing Address - Phone:216-772-7062
Mailing Address - Fax:216-916-4747
Practice Address - Street 1:8536 CROW DR STE 215
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1900
Practice Address - Country:US
Practice Address - Phone:216-772-7062
Practice Address - Fax:216-916-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0257564Medicaid