Slp360, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SLP360, INC.

Practice address

2814 Lincoln St
Hollywood, FL 33020-3834

Phone

(786) 439-5550

Fax

(888) 335-8617

NPI assigned

Sep 25, 2009

Organization subpart

No

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

Authorized official

Name

Tiara L Cottle

Title

President

Phone

(786) 439-5550

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1609100486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LINCOLN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "786-439-5550",
            "fax_number": "888-335-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LINCOLN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203834",
            "telephone_number": "786-439-5550",
            "fax_number": "888-335-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP360, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2023-09-06",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "COTTLE",
        "authorized_official_first_name": "TIARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-439-5550"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11982414",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891202501",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slp360.com",
            "affiliation": "N",
            "endpointDescription": "SLP360, Inc.",
            "address_1": "2814 Lincoln St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330203834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.