Provider Demographics
NPI: | 1740632397 |
---|---|
Name: | HEARING REHABILITATION SOLUTIONS, INC. |
Entity type: | Organization |
Organization Name: | HEARING REHABILITATION SOLUTIONS, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MICHAEL |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | KEMP |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 888-844-0477 |
Mailing Address - Street 1: | 1260 FULTON AVE |
Mailing Address - Street 2: | SUITE B |
Mailing Address - City: | SACRAMENTO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95825-7314 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-844-0477 |
Mailing Address - Fax: | 888-844-6994 |
Practice Address - Street 1: | 1260 FULTON AVE |
Practice Address - Street 2: | SUITE B |
Practice Address - City: | SACRAMENTO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95825-7314 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-844-0477 |
Practice Address - Fax: | 888-844-6994 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-07-07 |
Last Update Date: | 2016-07-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | AU 1640 | 332S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332S00000X | Suppliers | Hearing Aid Equipment |