NPIMap

Organization Active NPI

Holly'S Hearing Aid Center

  • Hearing Aid Equipment
  • Mentor, OH
National Provider Identifier
1043722564
Registry record updated Oct 25, 2017
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Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
03062 Issued in OH
Legal business name
HOLLY'S HEARING AID CENTER
Practice address
9875 Johnnycake Ridge Rd
Mentor, OH 44060-6748
Phone
(440) 358-1599
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Ericha Harrold, HAS
Title
Operations Manager
Phone
(440) 992-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 03062 OH Primary

Addresses

Primary practice location

9875 Johnnycake Ridge Rd
Mentor, OH 44060-6748

Mailing address

2845 N Ridge Rd E
Ashtabula, OH 44004-4134
Phone (440) 992-0101

Other identifiers 1

IdentifierTypeStateIssuer
0050404MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1043722564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N RIDGE RD E",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044134",
            "telephone_number": "440-992-0101",
            "fax_number": "440-992-0096"
        },
        {
            "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": "440-358-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY'S HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "HARROLD",
        "authorized_official_first_name": "ERICHA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "440-992-0101",
        "authorized_official_credential": "HAS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "OH",
            "license": "03062",
            "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 Oct 25, 2017; 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.