Lourdes Health Support, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

7200000236 Issued in PA

Legal business name

LOURDES HEALTH SUPPORT, LLC

Practice address

1155 Front St
Binghamton, NY 13905-1117

Phone

(607) 724-0115

Fax

(607) 724-0119

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel T Carelli

Title

Executive Director of Operations

Phone

(315) 458-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of Lourdes Memorial Hospital, Inc.

  • Community/Retail Pharmacy
  • Vestal, NY
  • NPI 1063824852

  Member Of

  NPD member

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1326081183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BUTTERNUT DR",
            "address_2": "SUITE 100",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132142141",
            "telephone_number": "315-458-3600",
            "fax_number": "315-458-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051117",
            "telephone_number": "607-724-0115",
            "fax_number": "607-724-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES HEALTH SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "CARELLI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-458-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "7200000236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia M Lollie
• Carlie Christine Long, FNP
• Bernadette Lorfils, LPN
• Kathryn A. Lorman, RPAC
• Leanne Lott, FNP
• Lourdes Hospital
• Katherine Jean Loveland, FNP
• Patricia Ellen Lovuolo, RN
• Evan Alex Lowe, LMSW
• Eden Ruth Lowinger

• Oxygen Equipment & Supplies (DME) in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.