Carolina Speech and Language Associates, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAROLINA SPEECH AND LANGUAGE ASSOCIATES, LLC

Practice address

3298 Hunter Drive
Orangeburg, SC 29118-2017

Phone

(803) 928-0369

Fax

(866) 524-1024

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Latrice Cooper, MA,SLP-CCCNPI 1407924459

Title

Speech Language Pathologist

Phone

(803) 928-0369

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Latrice Cooper, MA CCC-SLP

  • Speech-Language Pathologist
  • Elgin, SC
  • NPI 1407924459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1194059295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1932",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161932",
            "telephone_number": "803-928-0369",
            "fax_number": "866-524-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 HUNTER DRIVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182017",
            "telephone_number": "803-928-0369",
            "fax_number": "866-524-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH AND LANGUAGE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-928-0369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Comfort Angels LLC
• Carolina Foot Institute, LLC (The Foot Institute)
• Carolina Healthchoice of Orangeburg, LLC
• Carolina Lab 101
• Carolina Orthotics and Prosthetics
• Carolina Therapy Services
• Nikki Carr
• Justin Carroll
• Vernon Scott Carroll Sr., M.D.
• Erin Carter

• Home Health Agency in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.