Provider Demographics
NPI:1598306904
Name:HEARO TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:HEARO TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-765-0045
Mailing Address - Street 1:405 N JEFFERSON AVE STE 1063
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65806-1110
Mailing Address - Country:US
Mailing Address - Phone:417-765-0045
Mailing Address - Fax:833-786-8884
Practice Address - Street 1:405 N JEFFERSON AVE STE 1063
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65806-1110
Practice Address - Country:US
Practice Address - Phone:417-765-0045
Practice Address - Fax:833-786-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities