Healthcare Provider Details
I. General information
NPI: 1891851143
Provider Name (Legal Business Name): HEARING HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15825 MANCHESTER RD SUITE 209
ELLISVILLE MO
63011-2263
US
IV. Provider business mailing address
15825 MANCHESTER RD SUITE 209
ELLISVILLE MO
63011-2263
US
V. Phone/Fax
- Phone: 636-391-9622
- Fax: 636-391-9236
- Phone: 636-391-9622
- Fax: 636-391-9236
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROL
ELAINE
BERGMANN
Title or Position: DOCTOR OF AUDIOLOGY
Credential: AUD.,CCC-A
Phone: 636-391-9622