Provider Demographics
NPI:1639881055
Name:HEARING CARE AT HOME LLC
Entity Type:Organization
Organization Name:HEARING CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:AUSSEM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:414-731-9341
Mailing Address - Street 1:2300 W GOOD HOPE RD UNIT 144
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-2749
Mailing Address - Country:US
Mailing Address - Phone:414-731-9341
Mailing Address - Fax:
Practice Address - Street 1:2300 W GOOD HOPE RD UNIT 144
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-2749
Practice Address - Country:US
Practice Address - Phone:414-731-9341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty