Provider Demographics
NPI:1487255469
Name:HEARING HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:HEARING HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:301-429-2920
Mailing Address - Street 1:10111 MARTIN LUTHER KING JR HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4228
Mailing Address - Country:US
Mailing Address - Phone:301-429-2920
Mailing Address - Fax:301-429-2921
Practice Address - Street 1:6196 OXON HILL RD STE 240
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3137
Practice Address - Country:US
Practice Address - Phone:301-429-2920
Practice Address - Fax:301-485-8577
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING HEALTHCARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD445002700Medicaid