Provider Demographics
NPI:1740882422
Name:LITTLE MIRACLES HOME HEALTH
Entity type:Organization
Organization Name:LITTLE MIRACLES HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-715-1280
Mailing Address - Street 1:5258 FARM ROAD 1506
Mailing Address - Street 2:
Mailing Address - City:BROOKSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75421-4318
Mailing Address - Country:US
Mailing Address - Phone:903-715-1280
Mailing Address - Fax:
Practice Address - Street 1:5258 FARM ROAD 1506
Practice Address - Street 2:
Practice Address - City:BROOKSTON
Practice Address - State:TX
Practice Address - Zip Code:75421-4318
Practice Address - Country:US
Practice Address - Phone:903-715-1280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health