NPIMap

Organization Active NPI

Layton Medical Supplies, Inc

  • Nursing Facility Supplies (DME)
  • Milwaukee, WI
National Provider Identifier
1306030762
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
004-0000158658-01 Issued in WI
Legal business name
LAYTON MEDICAL SUPPLIES, INC
Practice address
5790 S 27TH St
Milwaukee, WI 53221-4129
Phone
(414) 282-3634
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Borislav Kresovic, NHA
Title
Designated Director
Phone
(414) 282-3634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 004-0000158658-01 WI Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 004-0000158658-01 WI

Addresses

Primary practice location

5790 S 27TH St
Milwaukee, WI 53221-4129

Mailing address

5790 S 27TH St
Milwaukee, WI 53221-4129
Phone (414) 282-3634

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1306030762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214129",
            "telephone_number": "414-282-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214129",
            "telephone_number": "414-282-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "KRESOVIC",
        "authorized_official_first_name": "BORISLAV",
        "authorized_official_title_or_position": "DESIGNATED DIRECTOR",
        "authorized_official_telephone_number": "414-282-3634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WI",
            "license": "004-0000158658-01",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "004-0000158658-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.