Organization Active NPI

Laner Dialysis Supply Co., LLC

  • Dialysis Equipment & Supplies (DME)
  • Hurricane, WV
National Provider Identifier
1679568786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
License
0353710-001 Issued in WV
Legal business name
LANER DIALYSIS SUPPLY CO., LLC
Practice address
153 Church Camp Rd
Hurricane, WV 25526-9261
Phone
(304) 720-5050
Fax
(304) 720-5050
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Felicitas C. Espiritu
Title
Member
Phone
(304) 720-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X 0353710-001 WV Primary

Addresses

Primary practice location

153 Church Camp Rd
Hurricane, WV 25526-9261

Mailing address

24 Maccorkle Ave SW
Suite 200
South Charleston, WV 25303-1476
Phone (304) 720-5050

Other identifiers 1

IdentifierTypeStateIssuer
6203010000MedicaidWV

National Provider Directory

National Provider Directory

Locations

24 Maccorkle Ave SW
Ste 200
South Charleston, WV 25303

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679568786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACCORKLE AVE SW",
            "address_2": "SUITE 200",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031476",
            "telephone_number": "304-720-5050",
            "fax_number": "304-720-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CHURCH CAMP RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269261",
            "telephone_number": "304-720-5050",
            "fax_number": "304-720-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANER DIALYSIS SUPPLY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "FELICITAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-720-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "WV",
            "license": "0353710-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6203010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.