Organization Active NPI

Little Town, LLC

Doing business as Grace Transitions

  • Case Manager/Care Coordinator
  • Palmdale, CA
National Provider Identifier
1467099499
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LITTLE TOWN, LLC
Doing business as
Grace Transitions
Practice address
38608 Lynx Way
Palmdale, CA 93551-5044
Phone
(313) 850-5663
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Shaw
Title
Managing Member
Phone
(313) 850-5663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

38608 Lynx Way
Palmdale, CA 93551-5044

Mailing address

38608 Lynx Way
Palmdale, CA 93551-5044
Phone (313) 850-5663

Other names 1

  • Grace Transitions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grace Transitions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1467099499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38608 LYNX WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515044",
            "telephone_number": "313-850-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38608 LYNX WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515044",
            "telephone_number": "313-850-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "313-850-5663"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Transitions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.