Organization Active NPI

Me Pivot Holdings LLC

Doing business as Miracle-Ear Center

  • Hearing Instrument Specialist
  • Statesboro, GA
National Provider Identifier
1366917783
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
ME PIVOT HOLDINGS LLC
Doing business as
Miracle-Ear Center
Practice address
102 Oak St
Statesboro, GA 30458-4852
Phone
(912) 489-1787
NPI assigned
Oct 11, 2018
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Ken Hall
Title
President
Phone
(763) 268-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

102 Oak St
Statesboro, GA 30458-4852

Mailing address

150 S 5TH St Ste 2300
Minneapolis, MN 55402-4223

Other names 1

  • Miracle-Ear Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Me Pivot Holdings LLC57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1366917783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 2300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OAK ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584852",
            "telephone_number": "912-489-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME PIVOT HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-268-4000"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle-Ear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.