Provider Demographics
NPI:1083667497
Name:HEARING SPEECH AND DEAF CENTER OF GREATER CINCINNATI
Entity Type:Organization
Organization Name:HEARING SPEECH AND DEAF CENTER OF GREATER CINCINNATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-221-0527
Mailing Address - Street 1:2825 BURNET AVENUE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-221-0527
Mailing Address - Fax:513-221-8014
Practice Address - Street 1:2825 BURNET AVENUE
Practice Address - Street 2:SUITE 330
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-221-0527
Practice Address - Fax:513-221-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9324991OtherOHIO MEDICARE PART B
OHDG1062OtherRR MEDICARE
OH0408951Medicaid
OHDG1062OtherRR MEDICARE