Provider Demographics
NPI:1790021202
Name:LITTLE BITS CAREGIVERS, LLC
Entity type:Organization
Organization Name:LITTLE BITS CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:BURCH
Authorized Official - Last Name:ASHWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-823-5624
Mailing Address - Street 1:1325 CAJUN TRL NW
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-4479
Mailing Address - Country:US
Mailing Address - Phone:601-823-5624
Mailing Address - Fax:601-823-5624
Practice Address - Street 1:1325 CAJUN TRL NW
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-4479
Practice Address - Country:US
Practice Address - Phone:601-823-5624
Practice Address - Fax:601-823-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service