Provider Demographics
NPI:1003377953
Name:HEARING CENTERS OF NEVADA
Entity type:Organization
Organization Name:HEARING CENTERS OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-815-6417
Mailing Address - Street 1:3075 JUMPING MOON CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4008
Mailing Address - Country:US
Mailing Address - Phone:714-815-6417
Mailing Address - Fax:775-508-2011
Practice Address - Street 1:76 W HORIZON RIDGE PKWY STE 125
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5330
Practice Address - Country:US
Practice Address - Phone:775-508-2020
Practice Address - Fax:775-508-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1497239404Medicaid