Provider Demographics
NPI:1609267186
Name:LIL BIT OF HEAVEN
Entity type:Organization
Organization Name:LIL BIT OF HEAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-514-7822
Mailing Address - Street 1:204 RECTORY ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2937
Mailing Address - Country:US
Mailing Address - Phone:919-339-4068
Mailing Address - Fax:919-725-9320
Practice Address - Street 1:204 RECTORY ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2937
Practice Address - Country:US
Practice Address - Phone:919-339-4068
Practice Address - Fax:919-725-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4723253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care