NPIMap

Organization Active NPI

Lifestyle Hearing Corporation USA Inc.

Doing business as Hilton Head Hearing Services

  • Audiologist
  • Hilton Head Island, SC
National Provider Identifier
1003016668
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3236 Issued in SC
Legal business name
LIFESTYLE HEARING CORPORATION USA INC.
Doing business as
Hilton Head Hearing Services
Practice address
23 Main St
Ste 101a
Hilton Headisland, SC 29926-6607
Phone
(843) 681-6070
Fax
(843) 681-6673
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naina Ballachanda
Title
VP-National Insurance Administratio
Phone
(505) 821-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 3236 SC Primary

Addresses

Primary practice location

23 Main St
Ste 101a
Hilton Headisland, SC 29926-6607

Mailing address

23 Main St
Ste 101a
Hilton Headisland, SC 29926-6607
Phone (843) 681-6070

Other identifiers 2

IdentifierTypeStateIssuer
SA 0409 GP1710MedicaidSC
20066267OtherSCSELECT HEALTH OF SC

Other names 1

  • Hilton Head Hearing Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifestyle Hearing Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2424 Roswell Rd
Marietta, GA 30062

25 Hospital Center Blvd
Ste 102
Hilton Head Island, SC 29926
Phone (843) 681-6070

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1003016668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "STE 101A",
            "city": "HILTON HEADISLAND",
            "state": "SC",
            "postal_code": "299266607",
            "telephone_number": "843-681-6070",
            "fax_number": "843-681-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "STE 101A",
            "city": "HILTON HEADISLAND",
            "state": "SC",
            "postal_code": "299266607",
            "telephone_number": "843-681-6070",
            "fax_number": "843-681-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE HEARING CORPORATION USA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BALLACHANDA",
        "authorized_official_first_name": "NAINA",
        "authorized_official_title_or_position": "VP-NATIONAL INSURANCE ADMINISTRATIO",
        "authorized_official_telephone_number": "505-821-6715"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "SC",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA 0409  GP1710",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH OF SC",
            "identifier": "20066267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilton Head Hearing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.