Provider Demographics
NPI:1801135066
Name:LIFE'S LITTLE MIRACLES HOME CARE,LLC
Entity type:Organization
Organization Name:LIFE'S LITTLE MIRACLES HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEI
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-7752
Mailing Address - Street 1:2402 BROCK ST
Mailing Address - Street 2:B
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3257
Mailing Address - Country:US
Mailing Address - Phone:956-583-7752
Mailing Address - Fax:956-583-7793
Practice Address - Street 1:2402 BROCK ST
Practice Address - Street 2:B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3257
Practice Address - Country:US
Practice Address - Phone:956-583-7752
Practice Address - Fax:956-583-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health