Organization Active NPI

Hometown Hearing and Audiology Services, LLC

  • Audiologist-Hearing Aid Fitter
  • Winchester, IN
National Provider Identifier
1831240688
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23002191A Issued in IN
Legal business name
HOMETOWN HEARING AND AUDIOLOGY SERVICES, LLC
Practice address
115 S Main St
Winchester, IN 47394-1822
Phone
(765) 584-4327
Fax
(765) 584-3677
NPI assigned
Jan 16, 2007
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Cindy L Cox
Title
Office Mang
Phone
(765) 584-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 23002191A IN Primary

Addresses

Primary practice location

115 S Main St
Winchester, IN 47394-1822

Mailing address

115 S Main St
Winchester, IN 47394-1822
Phone (765) 584-4327

Other identifiers 2

IdentifierTypeStateIssuer
200443140MedicaidIN
000000294346OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090604000600 IN Part B Supplier - Clinic/Group Practice 3173673555 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, IN

National Provider Directory

National Provider Directory

Locations

113 S Main St
Winchester, IN 47394
Phone (765) 584-4327

115 S Main St
Winchester, IN 47394
Phone (765) 584-4327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1831240688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473941822",
            "telephone_number": "765-584-4327",
            "fax_number": "765-584-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473941822",
            "telephone_number": "765-584-4327",
            "fax_number": "765-584-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEARING AND AUDIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANG",
        "authorized_official_telephone_number": "765-584-4327"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002191A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000294346",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.