MEDICARE: FAMILY HEARING CARE CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1548000359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEARING CARE CENTER INC.

Provider Business Mailing Address
First Line	:	534 MAIN ST STE 2
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1872
Country	:	US
Telephone Number	:	781-337-1144
Fax Number	:	781-337-6565

Provider Business Practice Location Address
First Line	:	534 MAIN ST STE 2
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1872
Country	:	US
Telephone Number	:	781-337-1144
Fax Number	:	781-337-6565

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN M KLEFEKER JR.
Credential	:	BC-HIS
Telephone Number	:	781-413-1724

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/29/2024

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