Healthcare Provider Details

I. General information

NPI: 1588781868
Provider Name (Legal Business Name): AUDIOLOGICAL HOME CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W MAIN ST
MERIDEN CT
06451-2767
US

IV. Provider business mailing address

620 W MAIN ST
MERIDEN CT
06451-2767
US

V. Phone/Fax

Practice location:
  • Phone: 202-758-0503
  • Fax:
Mailing address:
  • Phone: 202-758-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number224
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number457
License Number StateCT

VIII. Authorized Official

Name: ANNE E BYRNES
Title or Position: MANAGER
Credential: BC-HIS
Phone: 203-758-0503