Active NPI
Lifetime Hearing AIDS
- Customized Equipment (DME)
- Slidell, LA
National Provider Identifier
1205000130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 734
- Legal business name
- LIFETIME HEARING AIDS
- Practice address
- 59401 Spring Dr
Slidell, LA 70461-5128 - Phone
- (985) 726-0001
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Simon Bordelon, HIS
- Title
- President
- Phone
- (985) 726-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 734 | LA | Primary |
Addresses
Primary practice location
59401 Spring Dr
Slidell, LA 70461-5128
Mailing address
59401 Spring Dr
Slidell, LA 70461-5128
Phone (985) 726-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1545716 | Other | LA | LOUISIANA DEPT. OF HEALTH AND HOSPITALS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1205000130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59401 SPRING DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615128",
"telephone_number": "985-726-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59401 SPRING DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615128",
"telephone_number": "985-726-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME HEARING AIDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "BORDELON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SIMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-726-0001",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "HIS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "LA",
"license": "734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA DEPT. OF HEALTH AND HOSPITALS",
"identifier": "1545716",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.