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HABLA CONMIGO SPEECH THERAPY SERVICES, LLC
Complete NPI Record 1750893491
Speech-Language Pathologist in Lauderdale Lakes, FL

NPI Status: Active since November 03, 2017

Contact Information

4500 N STATE ROAD 7 STE 214
LAUDERDALE LAKES, FL
ZIP 33319
Phone: (954) 533-2226
Fax: (954) 765-6708

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number 1
  28. Provider License Number State Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Healthcare Provider Taxonomy Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Other Provider Identifier 1
  33. Other Provider Identifier Type Code 1
  34. Other Provider Identifier State 1
  35. Is Organization Subpart
  36. Authorized Official Name Prefix Text
  37. Authorized Official Credential Text
  38. Healthcare Provider Taxonomy Group 2

Complete NPI Dataset

This page represents the complete record for NPI 1750893491. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750893491
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider First Line Business Mailing Address: 4500 N STATE ROAD 7 STE 214
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LAUDERDALE LAKES
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: FL
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 333195882
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Telephone Number: 9545332226
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 9547656708
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 4500 N STATE ROAD 7 STE 214
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LAUDERDALE LAKES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: FL
The city name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 33319
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number: 9545332226
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 9547656708
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/3/2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/20/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Authorized Official Last Name: OSUNFISAN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: DANILDA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official Middle Name: L
The middle name of the authorized official.
Authorized Official Title or Position: DIRECTOR
The middle name of the authorized official.
Authorized Official Telephone Number: 9545576632
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 261Q00000X
The 10-position telephone number of the authorized official.
Provider License Number 1: SA15837
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: FL
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 235Z00000X
Healthcare Provider Primary Taxonomy Switch 2: Y
Other Provider Identifier 1: 023738500
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: FL
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: SLPD
Healthcare Provider Taxonomy Group 2: 193400000X SINGLE SPECIALTY GROUP