NPIMap

Organization Active NPI

Northland Hearing Centers, Inc.

Doing business as Northland Hearing Centers, Inc. dba Family Care Hearing Center

  • Hearing and Speech Clinic/Center
  • Effingham, IL
National Provider Identifier
1023290228
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
NORTHLAND HEARING CENTERS, INC.
Doing business as
Northland Hearing Centers, Inc. dba Family Care Hearing Center
Practice address
400 W Clark Ave Ste 107
Effingham, IL 62401-2689
Phone
(217) 347-7204
Fax
(217) 347-9409
NPI assigned
Nov 29, 2007
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Charles Lewis Laytart
Title
Credentialing Specialist
Phone
(952) 915-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

400 W Clark Ave Ste 107
Effingham, IL 62401-2689

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529

Other names 1

  • Northland Hearing Centers, Inc. dba Family Care Hearing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Hearing CTRS Inc928 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

400 W Clark Ave
Ste 108
Effingham, IL 62401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1023290228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "612-351-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CLARK AVE STE 107",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012689",
            "telephone_number": "217-347-7204",
            "fax_number": "217-347-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "LAYTART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "952-915-6248"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Hearing Centers, Inc. dba Family Care Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.