Provider Demographics
NPI:1770524092
Name:SOUNDS OF LIFE HEARING CARE INC
Entity type:Organization
Organization Name:SOUNDS OF LIFE HEARING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEYHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-882-5000
Mailing Address - Street 1:5151 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2184
Mailing Address - Country:US
Mailing Address - Phone:419-882-5000
Mailing Address - Fax:419-882-5008
Practice Address - Street 1:5151 MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2184
Practice Address - Country:US
Practice Address - Phone:419-882-5000
Practice Address - Fax:419-882-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2735311Medicaid
MI49333288Medicaid
OH2663121Medicaid
OHDG6581Medicare PIN
OH2735311Medicaid