=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649759838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SLT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2018
-----------------------------------------------------
Last Update Date | 05/17/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1888 KALAKAUA AVE STE C312
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96815-1550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-600-3733
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1888 KALAKAUA AVE STE C312
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96815-1550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-600-3733
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURI TOPPING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 808-600-3733
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------