Organization Active NPI

Menm, LLC

Doing business as Miracle-Ear

  • Hearing Instrument Specialist
  • Hardy, VA
National Provider Identifier
1891417754
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
MENM, LLC
Doing business as
Miracle-Ear
Practice address
12925 Booker T Washington Hwy Ste 105
Hardy, VA 24101-3972
Phone
(540) 229-6060
NPI assigned
Sep 16, 2022
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dana Stem
Title
Accounting Supervisor
Phone
(254) 307-3512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

12925 Booker T Washington Hwy Ste 105
Hardy, VA 24101-3972

Mailing address

8300 Central Park Dr Ste 100
Waco, TX 76712-6666
Phone (254) 227-6825

Other practice location 1

135 Crown Dr Ste F
Danville, VA 24540-5945
Phone (434) 791-3351

Other practice location 2

265 Columbia Mall Dr
Bloomsburg, PA 17815-8305
Phone (570) 784-5405

Other practice location 3

100 Arbor Dr Ste 111
Christiansburg, VA 24073-6585
Phone (540) 381-4327

Other practice location 4

7400 Timberlake Rd
Lynchburg, VA 24502-2321
Phone (434) 237-2600

Other practice location 5

3260 Electric Rd Ste 503
Roanoke, VA 24018-6400
Phone (540) 283-9934

Other practice location 6

513 Towne Square Way
Brentwood, PA 15227-3256
Phone (412) 881-2225

Other practice location 7

717 Market St Ste 109
Lemoyne, PA 17043-1581
Phone (717) 972-1010

Other practice location 8

5284 Simpson Ferry Rd
Mechanicsburg, PA 17050-3514
Phone (717) 697-7700

Other practice location 9

324 Mall Blvd
Monroeville, PA 15146-2241
Phone (412) 372-2585

Other practice location 10

8981 Norwin Ave Ste 101
North Huntingdon, PA 15642-2746
Phone (724) 861-8007

Other practice location 11

884 Gordon Nagle Trl
Pottsville, PA 17901-4203
Phone (570) 622-9700

Other practice location 12

2668 N Susquehanna Trl
Shamokin Dam, PA 17876-9105
Phone (570) 743-0000

Other practice location 13

265A Plank Rd
Somerset, PA 15501-2324
Phone (814) 443-1012

Other practice location 14

5504 Perkiomen Ave
Reading, PA 19606-3634
Phone (610) 404-0225

Other practice location 15

265 Allegheny Blvd Ste 2
Brookville, PA 15825-2321
Phone (814) 849-2007

Other practice location 16

258 Moraine Pointe Plz
Butler, PA 16001-2412
Phone (724) 282-3381

Other practice location 17

261 Penrose Pl
Carlisle, PA 17013-4014
Phone (717) 241-2008

Other practice location 18

144 S 8th St Ste 104
Chambersburg, PA 17201-2752
Phone (717) 261-1465

Other practice location 19

25 E Park Ave Ste 5
Du Bois, PA 15801-2271
Phone (814) 299-7404

Other practice location 20

927 W High St Ste 4
Ebensburg, PA 15931-1856
Phone (814) 846-5983

Other practice location 21

5478 Campbells Run Rd
Pittsburgh, PA 15205-1026
Phone (412) 494-4187

Other practice location 22

7206 McKnight Rd Ste 7
Pittsburgh, PA 15237-3501
Phone (412) 366-5750

Other practice location 23

505 Baltimore Pike
Springfield, PA 19064-3811
Phone (610) 604-9870

Other practice location 24

425 Old Kersey Rd
Kersey, PA 15846-2819
Phone (814) 781-1141

Other practice location 25

2081 E Main St
Waynesboro, PA 17268-1882
Phone (717) 762-3160

Other practice location 26

68 Plaza Ln
Wellsboro, PA 16901-1766
Phone (570) 724-3894

Other practice location 27

1758 E 3rd St
Williamsport, PA 17701-3862
Phone (570) 322-1907

Other practice location 28

310 S Main St Ste J
Yeagertown, PA 17099-9709
Phone (717) 242-3656

Other practice location 29

1495 S Queen St
York, PA 17403-3852
Phone (717) 771-5375

Other practice location 30

240 N 7th St Ste 100
Akron, PA 17501-1369
Phone (717) 859-4944

Other practice location 31

1547 Manheim Pike
Lancaster, PA 17601-3071
Phone (717) 293-0888

Other practice location 32

650 Morgantown Rd Ste D
Uniontown, PA 15401-5400
Phone (724) 439-8900

Other practice location 33

3111 Valley Ave Ste 112C
Winchester, VA 22601-2667
Phone (540) 678-0493

Other practice location 34

16 Deatrick Dr Apt B
Gettysburg, PA 17325-6963
Phone (717) 337-0002

Other practice location 35

600 Town Centre Dr Ste 6
Glen Mills, PA 19342-3346
Phone (610) 459-1533

Other practice location 36

125 Nature Park Rd Ste C
Greensburg, PA 15601-7933
Phone (724) 838-1610

Other practice location 37

4813 Jonestown Rd Ste 107
Harrisburg, PA 17109-1700
Phone (717) 545-1031

Other practice location 38

99 W Eisenhower Dr Ste D
Hanover, PA 17331-1153
Phone (717) 637-9899

Other practice location 39

141 Town Centre Dr
Johnstown, PA 15904-2824
Phone (814) 266-1322

Other practice location 40

1060 W Crestview Dr Ste C
Lebanon, PA 17042-7415
Phone (717) 270-8822

Other practice location 41

3100 Oakland Ave Ste 19
Indiana, PA 15701-3240
Phone (724) 465-2522

Other practice location 42

226 Willow Valley Lakes Dr Ste E
Willow Street, PA 17584-9665
Phone (717) 464-4490

Other practice location 43

1738 N Highland Rd Ste 104
Pittsburgh, PA 15241-1211
Phone (412) 831-8111

Other practice location 44

9503 Lincoln Hwy Ste 105A
Bedford, PA 15522-3763
Phone (814) 623-9396

Other practice location 45

3420 Pleasant Valley Blvd Ste 4
Altoona, PA 16602-4338
Phone (814) 944-3530

Other practice location 46

1103 Brookdale St Ste C
Martinsville, VA 24112-4531
Phone (276) 632-1806

Other practice location 47

2646 Brodhead Rd Ste B
Aliquippa, PA 15001-2902
Phone (724) 375-1055

Other practice location 48

4922 Valley View Blvd NW
Roanoke, VA 24012-2036
Phone (540) 362-2770

Other identifiers 1

IdentifierTypeStateIssuer
2101002150OtherVAHEARING AID SPECIALIST

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Menm LLC118 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

258 Moraine Pointe Plz
Butler, PA 16001
Phone (724) 282-3381

927 W High St
Ste 4
Ebensburg, PA 15931
Phone (814) 846-5983

16 Deatrick Dr
Apt B
Gettysburg, PA 17325
Phone (717) 337-0002

4813 Jonestown Rd
Ste 107
Harrisburg, PA 17109
Phone (717) 545-1031

141 Town Centre Dr
Johnstown, PA 15904
Phone (814) 266-1322

425 Old Kersey Rd
Kersey, PA 15846
Phone (814) 781-1141

717 Market St
Ste 109
Lemoyne, PA 17043
Phone (717) 972-1010

8981 Norwin Ave
Ste 101
North Huntingdon, PA 15642
Phone (724) 861-8007

513 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 881-2225

2668 N Susquehanna Trl
Shamokin Dam, PA 17876
Phone (570) 743-0000

505 Baltimore Pike
Springfield, PA 19064
Phone (610) 604-9870

68 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-3894

310 S Main St
Ste J
Yeagertown, PA 17099
Phone (717) 242-3656

12925 Booker T Washington Hwy
Ste 105
Hardy, VA 24101
Phone (540) 229-6060

4922 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 362-2770

3111 Valley Ave
Ste 112C
Winchester, VA 22601
Phone (540) 678-0493

Practitioners & affiliated clinicians

Practitioners 3

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1891417754",
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            "address_purpose": "MAILING",
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            "city": "WACO",
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            "state": "VA",
            "postal_code": "241013972",
            "telephone_number": "540-229-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Crown Dr Ste F",
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            "telephone_number": "434-791-3351",
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            "country_code": "US",
            "telephone_number": "570-784-5405",
            "country_name": "United States",
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        {
            "address_1": "100 Arbor Dr Ste 111",
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            "city": "Christiansburg",
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            "country_code": "US",
            "telephone_number": "540-381-4327",
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        {
            "address_1": "7400 Timberlake Rd",
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            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022321",
            "country_code": "US",
            "telephone_number": "434-237-2600",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "3260 Electric Rd Ste 503",
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            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186400",
            "country_code": "US",
            "telephone_number": "540-283-9934",
            "country_name": "United States",
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        {
            "address_1": "513 Towne Square Way",
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            "city": "Brentwood",
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            "postal_code": "152273256",
            "country_code": "US",
            "telephone_number": "412-881-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Market St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "170431581",
            "country_code": "US",
            "telephone_number": "717-972-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5284 Simpson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170503514",
            "country_code": "US",
            "telephone_number": "717-697-7700",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "324 Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462241",
            "country_code": "US",
            "telephone_number": "412-372-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8981 Norwin Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Huntingdon",
            "state": "PA",
            "postal_code": "156422746",
            "country_code": "US",
            "telephone_number": "724-861-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "884 Gordon Nagle Trl",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179014203",
            "country_code": "US",
            "telephone_number": "570-622-9700",
            "country_name": "United States",
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        },
        {
            "address_1": "2668 N Susquehanna Trl",
            "address_purpose": "LOCATION",
            "city": "Shamokin Dam",
            "state": "PA",
            "postal_code": "178769105",
            "country_code": "US",
            "telephone_number": "570-743-0000",
            "country_name": "United States",
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        {
            "address_1": "265A Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012324",
            "country_code": "US",
            "telephone_number": "814-443-1012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5504 Perkiomen Ave",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196063634",
            "country_code": "US",
            "telephone_number": "610-404-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Allegheny Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158252321",
            "country_code": "US",
            "telephone_number": "814-849-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Moraine Pointe Plz",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160012412",
            "country_code": "US",
            "telephone_number": "724-282-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 Penrose Pl",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170134014",
            "country_code": "US",
            "telephone_number": "717-241-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 S 8th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012752",
            "country_code": "US",
            "telephone_number": "717-261-1465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 E Park Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012271",
            "country_code": "US",
            "telephone_number": "814-299-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 W High St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "159311856",
            "country_code": "US",
            "telephone_number": "814-846-5983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5478 Campbells Run Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152051026",
            "country_code": "US",
            "telephone_number": "412-494-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7206 McKnight Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152373501",
            "country_code": "US",
            "telephone_number": "412-366-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643811",
            "country_code": "US",
            "telephone_number": "610-604-9870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Old Kersey Rd",
            "address_purpose": "LOCATION",
            "city": "Kersey",
            "state": "PA",
            "postal_code": "158462819",
            "country_code": "US",
            "telephone_number": "814-781-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2081 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172681882",
            "country_code": "US",
            "telephone_number": "717-762-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Wellsboro",
            "state": "PA",
            "postal_code": "169011766",
            "country_code": "US",
            "telephone_number": "570-724-3894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1758 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013862",
            "country_code": "US",
            "telephone_number": "570-322-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 S Main St Ste J",
            "address_purpose": "LOCATION",
            "city": "Yeagertown",
            "state": "PA",
            "postal_code": "170999709",
            "country_code": "US",
            "telephone_number": "717-242-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033852",
            "country_code": "US",
            "telephone_number": "717-771-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 N 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "PA",
            "postal_code": "175011369",
            "country_code": "US",
            "telephone_number": "717-859-4944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1547 Manheim Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013071",
            "country_code": "US",
            "telephone_number": "717-293-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Morgantown Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154015400",
            "country_code": "US",
            "telephone_number": "724-439-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Valley Ave Ste 112C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012667",
            "country_code": "US",
            "telephone_number": "540-678-0493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Deatrick Dr Apt B",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173256963",
            "country_code": "US",
            "telephone_number": "717-337-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Town Centre Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193423346",
            "country_code": "US",
            "telephone_number": "610-459-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Nature Park Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156017933",
            "country_code": "US",
            "telephone_number": "724-838-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4813 Jonestown Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171091700",
            "country_code": "US",
            "telephone_number": "717-545-1031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 W Eisenhower Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173311153",
            "country_code": "US",
            "telephone_number": "717-637-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159042824",
            "country_code": "US",
            "telephone_number": "814-266-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 W Crestview Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427415",
            "country_code": "US",
            "telephone_number": "717-270-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Oakland Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013240",
            "country_code": "US",
            "telephone_number": "724-465-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Willow Valley Lakes Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849665",
            "country_code": "US",
            "telephone_number": "717-464-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 N Highland Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152411211",
            "country_code": "US",
            "telephone_number": "412-831-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9503 Lincoln Hwy Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "PA",
            "postal_code": "155223763",
            "country_code": "US",
            "telephone_number": "814-623-9396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 Pleasant Valley Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166024338",
            "country_code": "US",
            "telephone_number": "814-944-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Brookdale St Ste C",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241124531",
            "country_code": "US",
            "telephone_number": "276-632-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2646 Brodhead Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150012902",
            "country_code": "US",
            "telephone_number": "724-375-1055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4922 Valley View Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240122036",
            "country_code": "US",
            "telephone_number": "540-362-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "STEM",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "254-307-3512"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID SPECIALIST",
            "identifier": "2101002150",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardy, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.