Organization Active NPI

Speech Therapy Unlimited Hallelujah, LLC

  • In Home Supportive Care Agency
  • Shreveport, LA
National Provider Identifier
1407103443
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1580 Issued in LA
Legal business name
SPEECH THERAPY UNLIMITED HALLELUJAH, LLC
Practice address
4646 Hilry Huckaby Dr
Shreveport, LA 71107-5707
Phone
(318) 670-9710
Fax
(318) 227-9142
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Barbara King, M.S., CCC-SLPNPI 1508069709
Title
Owner/Ceo
Phone
(318) 670-9710

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
In Home Supportive Care Agency 253Z00000X 1580 LA Primary

Addresses

Primary practice location

4646 Hilry Huckaby Dr
Shreveport, LA 71107-5707

Mailing address

5609 Cross Timbers Dr
Shreveport, LA 71129-3605
Phone (318) 670-9710

Other identifiers 1

IdentifierTypeStateIssuer
1472565MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1407103443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 CROSS TIMBERS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293605",
            "telephone_number": "318-670-9710",
            "fax_number": "318-227-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 HILRY HUCKABY DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711075707",
            "telephone_number": "318-670-9710",
            "fax_number": "318-227-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY UNLIMITED HALLELUJAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "318-670-9710",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1472565",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.