NPIMap

Organization Active NPI

Per Diem Healthcare Services, Inc.

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1902102106
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3120 Issued in SC
Legal business name
PER DIEM HEALTHCARE SERVICES, INC.
Practice address
1156 Bowman Rd
Suite 200
Mount Pleasant, SC 29464-3803
Phone
(843) 870-8822
Fax
(843) 388-0349
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Gena Randolph, CCC-SLP
Title
Ceo
Phone
(843) 870-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 3120 SC Primary

Addresses

Primary practice location

1156 Bowman Rd
Suite 200
Mount Pleasant, SC 29464-3803

Mailing address

PO Box 1866
Mount Pleasant, SC 29465-1866
Phone (843) 870-8822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1902102106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294651866",
            "telephone_number": "843-870-8822",
            "fax_number": "843-388-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD",
            "address_2": "SUITE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643803",
            "telephone_number": "843-870-8822",
            "fax_number": "843-388-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER DIEM HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-870-8822",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.