=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871397992
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LATCHING LITTLE ONES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2025
-----------------------------------------------------
Last Update Date | 04/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 70 JAMES ST STE 253
-----------------------------------------------------
City | WORCESTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01603-1038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-575-9177
-----------------------------------------------------
Fax | 949-703-8678
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23 FISHERDICK RD
-----------------------------------------------------
City | WARE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01082-9775
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-575-9177
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MICHELLE LETENDRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 413-575-9171
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------