Organization Active NPI

Grand Hearing Center LLC

  • Hearing Aid Equipment
  • Portland, MI
National Provider Identifier
1437417409
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
1601000414 Issued in MI
Legal business name
GRAND HEARING CENTER LLC
Practice address
1330 E Grand River Ave
Ste B
Portland, MI 48875-1630
Phone
(517) 647-4327
Fax
(517) 647-2442
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Douglas Logel Jr., M.A.NPI 1285671164
Title
Audiologist
Phone
(517) 647-4327

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 1601000414 MI Primary

Addresses

Primary practice location

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

Mailing address

1330 E Grand River Ave
Ste B
Portland, MI 48875-1630
Phone (517) 647-4327

Other identifiers 1

IdentifierTypeStateIssuer
1285671164MedicaidMI

National Provider Directory

National Provider Directory

Locations

1330 E Grand River Ave
Ste B
Portland, MI 48875
Phone (517) 526-0390

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1437417409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E GRAND RIVER AVE",
            "address_2": "STE B",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751630",
            "telephone_number": "517-647-4327",
            "fax_number": "517-647-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E GRAND RIVER AVE",
            "address_2": "STE B",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751630",
            "telephone_number": "517-647-4327",
            "fax_number": "517-647-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "LOGEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "517-647-4327",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "1601000414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285671164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.