OrganizationActive
Park Place Declarant
NPI 1487896114 · Hearing Aid Equipment · Lake Havasu City, AZ
Park Place Declarant is a Hearing Aid Equipment organization in Lake Havasu City, AZ (NPI 1487896114).
Provider details
- NPI number
- 1487896114
- Entity type
- Organization
- Primary specialty
- Hearing Aid EquipmentSuppliers
- Organization subpart
- No
- Authorized official
- Suzanne Kelly, Owner(702) 807-7931
- License
- HAD5806 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2105 Mcculloch Blvd N
#2
Lake Havasu City, AZ 86403-6772
Phone: (702) 807-7931
Fax: (702) 398-3757
Street-level locationGet directions
Mailing address
Po Box 224
Logandale, NV 89021-0224
Other names (DBA / former)
- Doing business as
- Fabulous Hearing
Registry dates
- Enumerated
- 2009-03-26
- Last updated
- 2009-03-26
Frequently asked questions
- What is Park Place Declarant's NPI number?
- Park Place Declarant's National Provider Identifier (NPI) is 1487896114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Place Declarant?
- Park Place Declarant is classified in the NPPES registry as Hearing Aid Equipment (Suppliers).
- Where is Park Place Declarant located?
- Park Place Declarant's practice location on file with NPPES is 2105 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6772.
- What is Park Place Declarant's phone number?
- The practice phone number listed in the NPPES registry for Park Place Declarant is (702) 807-7931.
- Who is the authorized official for Park Place Declarant?
- The authorized official listed on Park Place Declarant's NPPES record is Suzanne Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Place Declarant's NPI active?
- Yes — Park Place Declarant's NPI (1487896114) is active in the NPPES registry as of the last update on 2009-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.