Grand Hearing Center, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000414 Issued in MI

Legal business name

GRAND HEARING CENTER, LLC

Practice address

1330 E Grand River Ave
Suite B
Portland, MI 48875-1630

Phone

(517) 526-0390

NPI assigned

May 24, 2011

Last updated

Apr 23, 2012By 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

Mr. Douglas A Logel Jr.

Title

Owner - Audiologist

Phone

(517) 526-0390

Specialties & licenses 3

Addresses

Other identifiers 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.

• Gretchen Findlay, M.A.

  • Speech-Language Pathologist
  • Portland, MI
  • NPI 1750635025
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1336432483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E GRAND RIVER AVE",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E GRAND RIVER AVE",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751630",
            "telephone_number": "517-526-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "LOGEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER - AUDIOLOGIST",
        "authorized_official_telephone_number": "517-526-0390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "1601000414",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "1601000414",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285671164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Four Seasons Adult Assisted Living
• Jennifer Lynn Fox, RDN
• Judy Ann Fryover, NP
• Samantha Goodwin, LMSW
• Grand Hearing Center LLC
• Allison Green, NP
• Lorilee Gute
• Hannah's Helpers, Inc.
• Health Source Physical Therapy Center, Inc.
• Megan Nicole Hengesbach, BEHAVIORAL TECH

• Audiologist in Portland, MI
• Providers in Portland, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.