Nicole Larose, Llc
LBN: Bloom Children'S Therapy
Nicole Larose, Llc is an health care organization with primary practice located at 85C Vincent Drive , Mt Pleasant SC 29464. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty.
Bloom Children'S Therapy can be contacted via phone (843) 425-7963, or through Larose, Nicole via phone (843) 425-7963.
Contact Information
Primary practice address
85C Vincent Drive
Mt Pleasant SC 29464
Phone: (843) 425-7963
Fax: (888) 588-3421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3326 | South Carolina |
Profile Details
| NPI number | 1497159446 |
|---|---|
| LBN Legal business name | Bloom Children'S Therapy |
| DBA Doing business as | Nicole Larose, Llc |
| Authorized official | Larose, Nicole MSR, OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2014 |
| Last updated | Feb 24th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497159446 | NPPES |
| South Carolina | MEDICAID | TH2846 | |
| South Carolina | MEDICAID | GP6727 |
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