Hearcare Professional Corporation

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

58000024A Issued in IN

Legal business name

HEARCARE PROFESSIONAL CORPORATION

Practice address

3030 Lake Ave Ste 23
Fort Wayne, IN 46805-5428

Phone

(260) 485-1231

Fax

(260) 486-6958

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth StewartNPI 1487799045

Title

Owner

Phone

(260) 485-1231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Hearcare Audiology Hearing Aid Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hearcare Professional Corporation

  • Audiologist-Hearing Aid Fitter
  • Fort Wayne, IN
  • NPI 1992840540
  NPD tax ID

Locations

Practitioners 1

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

• Kenneth Stewart, M.A. F-AAA

  • Audiologist-Hearing Aid Fitter
  • Fort Wayne, IN
  • NPI 1487799045
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1770616732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE STE 23",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-485-1231",
            "fax_number": "260-486-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE STE 23",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-485-1231",
            "fax_number": "260-486-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARCARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-485-1231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "58000024A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthier Moms and Babies, Inc.
• Healthy Body LLC
• Healthy Expectations, Inc
• Healthy Schools Indiana LLC
• Hearcare Connection, Inc.
• Hearcare Professional Corporation
• Tracy Hearn, RN
• Heart Care LLC
• Heart of Families LLC
• Heart to Heart Hospice of Northeast Indiana, LLC

• Audiologist-Hearing Aid Fitter in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Audiologist-Hearing Aid Fitter in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.