Healthcare Provider Details

I. General information

NPI: 1588595284
Provider Name (Legal Business Name): NORTHEAST HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 BEDFORD STREET 5TH FLOOR
FALL RIVER MA
02720
US

IV. Provider business mailing address

191 BEDFORD STREET 5TH FLOOR
FALL RIVER MA
02720
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-3292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MATEUS
Title or Position: CEO
Credential:
Phone: 508-676-3292