Organization Active NPI

Functional Communication Foundations LLC

Doing business as HomeTele SLP

  • Speech-Language Pathologist
  • Duluth, GA
National Provider Identifier
1588378228
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FUNCTIONAL COMMUNICATION FOUNDATIONS LLC
Doing business as
HomeTele SLP
Practice address
3465 Duluth Highway 120 Apt 5417
Duluth, GA 30096-3457
Phone
(561) 670-3545
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Ms. Meridith Michelle Rose, MS, CCC-SLPNPI 1265756159
Title
Owner and Founder
Phone
(561) 670-3545

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3465 Duluth Highway 120 Apt 5417
Duluth, GA 30096-3457

Mailing address

3465 Duluth Highway 120 Apt 5417
Duluth, GA 30096-3457
Phone (561) 670-3545

Other names 1

  • HomeTele SLP Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1588378228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 DULUTH HIGHWAY 120 APT 5417",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963457",
            "telephone_number": "561-670-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 DULUTH HIGHWAY 120 APT 5417",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963457",
            "telephone_number": "561-670-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL COMMUNICATION FOUNDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MERIDITH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "561-670-3545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeTele SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.