Provider Demographics
NPI:1295896280
Name:ADVANCED HEARING HEALTH CARE PLC
Entity type:Organization
Organization Name:ADVANCED HEARING HEALTH CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELECTRA
Authorized Official - Last Name:SAKELLARIDES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:703-933-2001
Mailing Address - Street 1:611 S CARLIN SPRINGS RD
Mailing Address - Street 2:#106
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-933-2001
Mailing Address - Fax:703-933-2007
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:#106
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-933-2001
Practice Address - Fax:703-933-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Not Answered332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00A825A86Medicare ID - Type Unspecified