Healthcare Provider Details

I. General information

NPI: 1003377953
Provider Name (Legal Business Name): HEARING CENTERS OF NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 W HORIZON RIDGE PKWY STE 125
HENDERSON NV
89012-5330
US

IV. Provider business mailing address

3075 JUMPING MOON CT
HENDERSON NV
89052-4008
US

V. Phone/Fax

Practice location:
  • Phone: 775-508-2020
  • Fax: 775-508-2011
Mailing address:
  • Phone: 714-815-6417
  • Fax: 775-508-2011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HEATHER CASTELLANO
Title or Position: OWNER
Credential:
Phone: 714-815-6417