Carolina Speech Source, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA SPEECH SOURCE, LLC

Practice address

118 5TH Ave NW
Hickory, NC 28601-4929

Phone

(828) 322-7826

NPI assigned

Jan 31, 2007

Last updated

Dec 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katelyn Donovan

Title

Owner

Phone

(828) 322-7826

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Carolina Speech Source LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Carolina Speech Source LLC

  • Community/Behavioral Health Agency
  • Hickory, NC
  • NPI 1598802548
  NPD tax ID

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1184761132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 5TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 5TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014929",
            "telephone_number": "828-322-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH SOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-322-7826"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Neurological Services, PLLC
• Carolina Oncology Specialist PA
• Carolina Oncology Specialists, PA
• Carolina Podiatry Center PLLC
• Carolina Speech Source LLC
• Carolina Speech Source, LLC
• Carolina Surgery and Cancer Center
• Carolina Therapeutic Services Community Development Inc (Ctscd)
• Carolina Therapeutic Services, Inc (CTSHealth)
• Carolina Treatment Associates

• Community/Behavioral Health Agency in Hickory, NC
• Providers in Hickory, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.