Provider Demographics
NPI:1346730231
Name:SAVEOURLITTLEONES
Entity type:Organization
Organization Name:SAVEOURLITTLEONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BREUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-551-3257
Mailing Address - Street 1:4911 W SAMPLE RD APT 110
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:954-827-0902
Practice Address - Street 1:4911 W SAMPLE RD APT 110
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3418
Practice Address - Country:US
Practice Address - Phone:954-551-3257
Practice Address - Fax:954-827-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL833651714Medicaid