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 NPI 1730104126
Title
Owner
Phone
(210) 439-9144

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Audiologist
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2020.

{
    "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

All providers in Bulverde, TX · Audiologist in Texas

Sources for this page

Verify at the official NPI Registry.