Provider Demographics
NPI:1558488171
Name:HEARINGCARE, INC
Entity Type:Organization
Organization Name:HEARINGCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:AU D
Authorized Official - Phone:303-426-0633
Mailing Address - Street 1:11150 HURON ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4379
Mailing Address - Country:US
Mailing Address - Phone:303-426-0633
Mailing Address - Fax:303-426-0759
Practice Address - Street 1:11150 HURON ST
Practice Address - Street 2:SUITE 208
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4379
Practice Address - Country:US
Practice Address - Phone:303-426-0633
Practice Address - Fax:303-426-0759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO109495237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20834039Medicaid
CO20834039Medicaid