Organization Active NPI

Custom Hearing Care Inc

  • Audiologist
  • Farmington Hills, MI
National Provider Identifier
1598899478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000305 Issued in MI
Legal business name
CUSTOM HEARING CARE INC
Practice address
25882 Orchard Lake Rd
Suite 103
Farmington Hills, MI 48336-1292
Phone
(248) 474-8161
Fax
(248) 474-2966
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen William Goff, MACCCA
Title
Audiologist
Phone
(248) 474-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1601000305 MI Primary

Addresses

Primary practice location

25882 Orchard Lake Rd
Suite 103
Farmington Hills, MI 48336-1292

Mailing address

25882 Orchard Lake Rd
Suite 103
Farmington Hills, MI 48336-1292
Phone (248) 474-8161

Other identifiers 1

IdentifierTypeStateIssuer
2609400MedicaidMI

National Provider Directory

National Provider Directory

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598899478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25882 ORCHARD LAKE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361292",
            "telephone_number": "248-474-8161",
            "fax_number": "248-474-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25882 ORCHARD LAKE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361292",
            "telephone_number": "248-474-8161",
            "fax_number": "248-474-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEARING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "248-474-8161",
        "authorized_official_credential": "MACCCA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.