Park Place Declarant
NPI 1487896114ActiveOrganization· Hearing Aid Equipment· Lake Havasu City, AZ
Hearing Aid Equipment in Lake Havasu City, Arizona, registered in NPPES in March 2009. The authorized official on file is Suzanne Kelly, MEMBER, Owner.
Overview
| NPI | 1487896114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2009 |
| Last updated in NPPES | Mar 26, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hearing Aid Equipment Primary | 332S00000X | HAD5806 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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