Healthcare Provider Details

I. General information

NPI: 1225952781
Provider Name (Legal Business Name): HERITAGE HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 ELKHART RD
GOSHEN IN
46526-1010
US

IV. Provider business mailing address

2810 WILD CHERRY RDG W
MISHAWAKA IN
46544-6919
US

V. Phone/Fax

Practice location:
  • Phone: 574-850-7938
  • Fax:
Mailing address:
  • Phone: 574-850-7938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DAVID A THOMAS
Title or Position: OWNER
Credential:
Phone: 574-850-7938