Provider Demographics
NPI:1770015083
Name:ADAPT HEARING INC
Entity type:Organization
Organization Name:ADAPT HEARING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLARD
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:GILILLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-922-1715
Mailing Address - Street 1:5555 GARDEN GROVE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-1886
Mailing Address - Country:US
Mailing Address - Phone:844-573-9925
Mailing Address - Fax:714-901-4058
Practice Address - Street 1:1135 E ROUTE 66
Practice Address - Street 2:SUITE 111
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3700
Practice Address - Country:US
Practice Address - Phone:844-573-9925
Practice Address - Fax:714-901-4058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment