Healthcare Provider Details

I. General information

NPI: 1649734476
Provider Name (Legal Business Name): BEST LIFE HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N MAIN STREET EXT STE 1C
WALLINGFORD CT
06492-2487
US

IV. Provider business mailing address

850 N MAIN STREET EXT STE 1C
WALLINGFORD CT
06492-2487
US

V. Phone/Fax

Practice location:
  • Phone: 860-919-0998
  • Fax:
Mailing address:
  • Phone: 203-741-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MICACCI
Title or Position: OWNER
Credential: AU.D.
Phone: 203-741-9943