Carlyle Hearing Center LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

147000882 Issued in IL

Legal business name

CARLYLE HEARING CENTER LLC

Doing business as

Carlyle Hearing Center

Practice address

811 Fairfax St
Carlyle, IL 62231-1809

Phone

(618) 594-4966

Fax

(618) 205-5067

NPI assigned

Dec 22, 2016

Last updated

Oct 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rebekah Donnelly, AUDNPI 1992802516

Title

Audiologist/Owner

Phone

(618) 594-4966

Specialties & licenses 1

Addresses

Other names 1

• Carlyle Hearing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Rebekah L. Donnelly, AUD

  • Audiologist
  • Carlyle, IL
  • NPI 1992802516
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1043755382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 FAIRFAX ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311809",
            "telephone_number": "618-594-4966",
            "fax_number": "618-205-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 FAIRFAX ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311809",
            "telephone_number": "618-594-4966",
            "fax_number": "618-205-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "618-594-4966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlyle Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlyle Cu SCH Dist 1
• Carlyle Healthcare & Senior Living, LLC
• Carlyle Healthcare Center
• Carlyle Healthcare Center Inc. (Carlyle Healthcare Center)
• Carlyle Healthcare Center, Inc. (Villa Catherine Supportive Living)
• Carlyle Senior Living LLC
• Clarion Healing Center, LTD
• Clinton County (Clinton County Health Department)
• Tyson Coffey
• James G Coleman, PA-C

• Audiologist-Hearing Aid Fitter in Carlyle, IL
• Providers in Carlyle, IL by specialty
• Audiologist-Hearing Aid Fitter in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.