NPIMap

Organization Active NPI

Speech Haus, LLC

  • Hearing and Speech Clinic/Center
  • Kershaw, SC
National Provider Identifier
1730684036
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEECH HAUS, LLC
Practice address
1029 Broadstreet, Suite 3
Kershaw, SC 29020
Phone
(855) 838-3942
NPI assigned
Mar 28, 2018
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Jacqueline BoboNPI 1215386370
Title
Provider
Phone
(855) 838-3942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1029 Broadstreet, Suite 3
Kershaw, SC 29020

Mailing address

1029 Broad St Ste 3
Camden, SC 29020-4307

National Provider Directory

National Provider Directory

Locations

1029 Broad St
Ste 3
Camden, SC 29020
Phone (855) 838-3942

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": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1730684036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 BROAD ST STE 3",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 BROADSTREET, SUITE 3",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "855-838-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH HAUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "855-838-3942"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kershaw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.