Healthcare Provider Details

I. General information

NPI: 1073485629
Provider Name (Legal Business Name): QA OF NH 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 S RIVER RD STE 110B
BEDFORD MA
01330
US

IV. Provider business mailing address

166 SOUTH RIVER RD STE 110B
BEDFORD NH
03110
US

V. Phone/Fax

Practice location:
  • Phone: 508-769-9829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN LOVE
Title or Position: MANAGER
Credential:
Phone: 603-824-3833