Healthcare Provider Details

I. General information

NPI: 1871844050
Provider Name (Legal Business Name): LITTLE HILLS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 WELDON SPRING PKWY SUITE 400
WELDON SPRING MO
63304-9101
US

IV. Provider business mailing address

4020 ASPEN GROVE DR STE 900
FRANKLIN TN
37067-3134
US

V. Phone/Fax

Practice location:
  • Phone: 636-939-7179
  • Fax: 636-939-7187
Mailing address:
  • Phone: 615-861-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2012031813
License Number StateMO

VIII. Authorized Official

Name: BRIAN P FARLEY
Title or Position: VICE PRESIDENT AND SECRETARY
Credential:
Phone: 615-861-6000