Healthcare Provider Details
I. General information
NPI: 1003469156
Provider Name (Legal Business Name): HEAR AGAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2019
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
485 CHAPIN RD STE A
CHAPIN SC
29036-8877
US
IV. Provider business mailing address
851 BROKEN SOUND PKWY NW STE 120
BOCA RATON FL
33487-3638
US
V. Phone/Fax
- Phone: 803-765-1919
- Fax: 803-849-8875
- Phone: 561-367-1623
- Fax: 561-299-5438
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEAH
MANOR
Title or Position: CORPORATE INSURANCE MANAGER
Credential:
Phone: 561-367-1623