Healthcare Provider Details

I. General information

NPI: 1396163838
Provider Name (Legal Business Name): BETTER HEARING REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CONSULTANT PL SUITE 220
DURHAM NC
27707-6320
US

IV. Provider business mailing address

6300 TERRA VERDE DR UNIT 221
RALEIGH NC
27609-5592
US

V. Phone/Fax

Practice location:
  • Phone: 919-948-1947
  • Fax:
Mailing address:
  • Phone: 919-308-7641
  • Fax: 919-794-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number10146
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number10146
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number10146
License Number StateNC

VIII. Authorized Official

Name: DR. SHAINA CAMILLE STAPLETON
Title or Position: OWNER
Credential: AU.D.
Phone: 919-308-7641