NPIMap

Organization Active NPI

Indiana Hearing LLC

Doing business as Miracle Ear

  • Hearing Aid Equipment
  • Mount Vernon, IL
National Provider Identifier
1669726204
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
INDIANA HEARING LLC
Doing business as
Miracle Ear
Practice address
715A S 42ND St
Mount Vernon, IL 62864-6543
Phone
(618) 242-2784
Fax
(618) 242-2786
NPI assigned
Nov 5, 2012
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Kayla R Steele
Title
Senior Contract Negotiator
Phone
(518) 620-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

715A S 42ND St
Mount Vernon, IL 62864-6543

Mailing address

131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (401) 353-4174

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Indiana Hearing LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

715A S 42nd St
Mount Vernon, IL 62864
Phone (618) 242-2784

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1669726204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326",
            "telephone_number": "401-353-4174",
            "fax_number": "401-488-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A S 42ND ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646543",
            "telephone_number": "618-242-2784",
            "fax_number": "618-242-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR CONTRACT NEGOTIATOR",
        "authorized_official_telephone_number": "518-620-4238"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.