Organization Active NPI

Homegrown Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1245748458
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5986 Issued in SC
Legal business name
HOMEGROWN SPEECH THERAPY SERVICES LLC
Practice address
304 Cessna Ave
Charleston, SC 29407-6807
Phone
(631) 926-3871
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Melissa Karl, MS, CCC-SLPNPI 1609223239
Title
Speech Language Pathologist
Phone
(631) 926-3871

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5986 SC Primary

Addresses

Primary practice location

304 Cessna Ave
Charleston, SC 29407-6807

Mailing address

PO Box 80092
Charleston, SC 29416-0092
Phone (631) 926-3871

Other identifiers 1

IdentifierTypeStateIssuer
1609223239MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1245748458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80092",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160092",
            "telephone_number": "631-926-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CESSNA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076807",
            "telephone_number": "631-926-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEGROWN SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-926-3871",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609223239",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.