Provider Demographics
NPI:1073582060
Name:HEARING CARE RESOURCES, INC.
Entity Type:Organization
Organization Name:HEARING CARE RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:P
Authorized Official - Last Name:VARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, AUD
Authorized Official - Phone:386-754-6711
Mailing Address - Street 1:132 SW COLUMBIA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-4301
Mailing Address - Country:US
Mailing Address - Phone:386-754-6711
Mailing Address - Fax:386-754-6713
Practice Address - Street 1:132 SW COLUMBIA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-4301
Practice Address - Country:US
Practice Address - Phone:386-754-6711
Practice Address - Fax:386-754-6713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL06-03205261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ0828OtherBC/BS FLORIDA PROVIDER NO