Provider Demographics
NPI:1750637799
Name:AFFORDABLE HEARING AID, L.L.C.
Entity Type:Organization
Organization Name:AFFORDABLE HEARING AID, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIS 291
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KISH
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:508-824-4327
Mailing Address - Street 1:54 MAIN ST STE 21
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-3636
Mailing Address - Country:US
Mailing Address - Phone:508-824-4327
Mailing Address - Fax:774-213-9646
Practice Address - Street 1:54 MAIN ST STE 21
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-3636
Practice Address - Country:US
Practice Address - Phone:508-824-4327
Practice Address - Fax:774-213-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
164W00000X, 237700000X
MA67237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110024966AMedicaid
MA110029179AMedicaid