Provider Demographics
NPI:1982940094
Name:LITTLE HELPER HOMECARE
Entity Type:Organization
Organization Name:LITTLE HELPER HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ NURSE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIQUITA
Authorized Official - Middle Name:NIKKOLE
Authorized Official - Last Name:CLUGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-536-1116
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-0235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27180 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7385
Practice Address - Country:US
Practice Address - Phone:888-536-1116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health