Hearguard Mobile Hearing Care, LLC
Organization Active NPI Audiologist · Bulverde, TX
NPI 1114548815 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1114548815
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- HEARGUARD MOBILE HEARING CARE, LLC
- Practice address
- 31112 Sierra Vista Dr
Bulverde, TX 78163-4590 - Phone
- (210) 439-9144
- NPI assigned
- May 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Gail Grant, AU.D., CCC-A
- Title
- Owner
- Phone
- (210) 439-9144
Practitioners 2
-
Gail Grant, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200603002890 | TX | Part B Supplier - Clinic/Group Practice | 9537580352 |
Receives reassigned benefits from 1 practitioner Practice locations: Bulverde, TX |
National Provider Directory
Locations
4265 45th St S
Ste S
Fargo, ND 58104
Phone (210) 660-3242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes |
Addresses
Primary practice location
31112 Sierra Vista Dr
Bulverde, TX 78163-4590
Mailing address
31112 Sierra Vista Dr
Bulverde, TX 78163-4590
Phone (210) 439-9144
NPI Registry JSON
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593043200000",
"number": "1114548815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31112 SIERRA VISTA DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781634590",
"telephone_number": "210-439-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31112 SIERRA VISTA DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781634590",
"telephone_number": "210-439-9144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARGUARD MOBILE HEARING CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-04",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-439-9144",
"authorized_official_credential": "AU.D., CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bulverde, TX
- Teresa Brownlee Hannemann
- Sandra Nelson Harris
- Scott Harrison
- Hauser Counseling and Consulting
- Gene Charles Hauser
- Virginia Ann Hevner
- Hill Country Home Healthcare Services LLC
- Hill Country Special Care Dental Center, PLLC
- Hill Country Wound Care Vascular & Hyperbarics
- Maiara Lisiane Hister-Cockrell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.