Active NPI
Joni Pendergrass Love, Learn, and Play
- Early Intervention Provider Agency
- Hartsville, SC
National Provider Identifier
1184456659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- JONI PENDERGRASS LOVE, LEARN, AND PLAY
- Practice address
- 1455 Nottingham Dr
Hartsville, SC 29550-8585 - Phone
- (843) 453-3106
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joni Cranford Pendergrass
- Title
- Owner
- Phone
- (843) 453-3106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1455 Nottingham Dr
Hartsville, SC 29550-8585
Mailing address
PO Box 571
Hartsville, SC 29551-0571
Phone (843) 453-3106
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Early Intervention Provider Agency
- Hartsville, SC
- NPI 1710672399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1184456659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295510571",
"telephone_number": "843-453-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 NOTTINGHAM DR",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295508585",
"telephone_number": "843-453-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONI PENDERGRASS LOVE, LEARN, AND PLAY",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "PENDERGRASS",
"authorized_official_first_name": "JONI",
"authorized_official_middle_name": "CRANFORD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-453-3106",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.