MEDICARE: MENM,LLC

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	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1811600240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENM,LLC

Provider Business Mailing Address
First Line	:	8300 CENTRAL PARK DR STE 100
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-6666
Country	:	US
Telephone Number	:	916-582-3197
Fax Number	:

Provider Business Practice Location Address
First Line	:	9267 LAGUNA SPRINGS DR STE 150
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-8099
Country	:	US
Telephone Number	:	916-582-3197
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MICHELE CAPUTO
Credential	:
Telephone Number	:	254-227-5189

Provider Enumeration Date	:	12/30/2022
Last Update Date	:	06/22/2023

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Directions to “MENM,LLC ” Practice Location

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