Healthcare Provider Details

I. General information

NPI: 1861013500
Provider Name (Legal Business Name): CONCIERGE HEARING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2020
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 CHESTERFIELD COMMONS RD E
CHESTERFIELD MO
63005-1440
US

IV. Provider business mailing address

128 CHESTERFIELD COMMONS RD E
CHESTERFIELD MO
63005-1440
US

V. Phone/Fax

Practice location:
  • Phone: 636-778-1168
  • Fax: 314-219-1852
Mailing address:
  • Phone: 636-778-1168
  • Fax: 314-219-1852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JACQUELINE NAPOLI
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 314-403-9026