Organization Active NPI

Carolina Connections & Interventions LLC

  • Early Intervention Provider Agency
  • Florence, SC
National Provider Identifier
1992546493
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CAROLINA CONNECTIONS & INTERVENTIONS LLC
Practice address
1951 Pisgah Rd
Mailbox #9
Florence, SC 29501
Phone
(843) 409-9240
Fax
(888) 304-1446
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Shemeka Cusack
Title
Ceo
Phone
(843) 409-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1951 Pisgah Rd
Mailbox #9
Florence, SC 29501

Mailing address

1951 Pisgah Rd
Mailbox #9
Florence, SC 29501
Phone (843) 409-9240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1992546493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 PISGAH RD",
            "address_2": "MAILBOX #9",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-409-9240",
            "fax_number": "888-304-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PISGAH RD",
            "address_2": "MAILBOX #9",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-409-9240",
            "fax_number": "888-304-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CONNECTIONS & INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "SHEMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-409-9240"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.