Provider Demographics
NPI:1871837765
Name:HEARING CARE CENTERS OF NEBRASKA, INC.
Entity Type:Organization
Organization Name:HEARING CARE CENTERS OF NEBRASKA, INC.
Other - Org Name:MODERN HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:402-440-0976
Mailing Address - Street 1:14003 WILLIAMSBURG CT APT 31
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-4807
Mailing Address - Country:US
Mailing Address - Phone:402-440-0976
Mailing Address - Fax:
Practice Address - Street 1:112 S 19TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4259
Practice Address - Country:US
Practice Address - Phone:402-228-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE770237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024959500Medicaid