NPIMap

Organization Active NPI

Hearing Care Resources, Inc.

  • Hearing and Speech Clinic/Center
  • Lake City, FL
National Provider Identifier
1073582060
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
06-03205 Issued in FL
Legal business name
HEARING CARE RESOURCES, INC.
Practice address
132 SW Columbia Ave
Suite 101
Lake City, FL 32025-4301
Phone
(386) 754-6711
Fax
(386) 754-6713
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mr. Kendall P Varney, M.S., AUDNPI 1164655080
Title
Owner
Phone
(386) 754-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 06-03205 FL Primary

Addresses

Primary practice location

132 SW Columbia Ave
Suite 101
Lake City, FL 32025-4301

Mailing address

132 SW Columbia Ave
Suite 101
Lake City, FL 32025-4301
Phone (386) 754-6711

Other identifiers 1

IdentifierTypeStateIssuer
J0828OtherFLBC/BS FLORIDA PROVIDER NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090928000326 FL Part B Supplier - Clinic/Group Practice 2365598760 Receives reassigned benefits from 1 practitioner
Practice locations: Lake City, FL; Live Oak, FL; Perry, FL
O20091028000610 GA Part B Supplier - Clinic/Group Practice 2365598760 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, GA; Jesup, GA; Waycross, GA

National Provider Directory

National Provider Directory

Locations

132 SW Columbia Ave
Ste 101
Lake City, FL 32025
Phone (386) 754-6711

132 SW Columbia Ave
Lake City, FL 32025

109 Howard St E
Live Oak, FL 32064
Phone (386) 362-5452

256 SW Washington Ave
Madison, FL 32340
Phone (850) 973-4590

2007 Parkwood Dr
Brunswick, GA 31520
Phone (912) 267-1400

155 E Orange St
Jesup, GA 31546
Phone (812) 427-9392

102 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 576-7546

15 Retreat Pl
St Simons Island, GA 31522

104 E Moore St
Valdosta, GA 31602
Phone (229) 253-6919

201 Tebeau St
Waycross, GA 31501
Phone (912) 283-3738

Practitioners & affiliated clinicians

Practitioners 6

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1073582060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SW COLUMBIA AVE",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254301",
            "telephone_number": "386-754-6711",
            "fax_number": "386-754-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SW COLUMBIA AVE",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254301",
            "telephone_number": "386-754-6711",
            "fax_number": "386-754-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING CARE RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-754-6711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "06-03205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA PROVIDER NO",
            "identifier": "J0828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.