Active NPI
Hollys Hearing Aid Center, LLC
- Hearing Aid Equipment
- Mentor, OH
National Provider Identifier
1003488933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- HOLLYS HEARING AID CENTER, LLC
- Practice address
- 9875 Johnnycake Ridge Rd
Mentor, OH 44060-6748 - Phone
- (440) 551-9296
- Fax
- (440) 579-4451
- NPI assigned
- Jul 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Lee Cunningham
- Title
- Operations Manager
- Phone
- (404) 551-9296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
9875 Johnnycake Ridge Rd
Mentor, OH 44060-6748
Mailing address
9875 Johnnycake Ridge Rd
Mentor, OH 44060-6748
Phone (440) 551-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050404 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626048000000",
"number": "1003488933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9875 JOHNNYCAKE RIDGE RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606748",
"telephone_number": "440-551-9296",
"fax_number": "440-579-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9875 JOHNNYCAKE RIDGE RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606748",
"telephone_number": "440-551-9296",
"fax_number": "440-579-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLYS HEARING AID CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "404-551-9296"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050404",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.