Active NPI
LRD Management Inc.
Doing business as Caring Senior Service of Charleston
- In Home Supportive Care Agency
- South Charleston, WV
National Provider Identifier
1689118267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 2017-9498-00
- Legal business name
- LRD MANAGEMENT INC.
- Doing business as
- Caring Senior Service of Charleston
- Practice address
- 335 4TH Ave Ste 104
South Charleston, WV 25303-1268 - Phone
- (304) 553-7802
- Fax
- (681) 205-2617
- NPI assigned
- Dec 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Russell Wayne Lyons
- Title
- Owner/Director
- Phone
- (304) 550-7480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 2017-9498-00 | WV | Primary |
Addresses
Primary practice location
335 4TH Ave Ste 104
South Charleston, WV 25303-1268
Mailing address
335 4TH Ave Ste 104
South Charleston, WV 25303-1268
Phone (304) 553-7802
Other names 1
- Caring Senior Service of Charleston
National Provider Directory
National Provider Directory- Tax ID family
- Caring Senior Service of Charleston
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Caring Senior Service of Charleston
- In Home Supportive Care Agency
- Charleston, WV
- NPI 1124468392
Locations
335 4th Ave
Ste 104
South Charleston, WV 25303
Phone (304) 553-7802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481760000000",
"number": "1689118267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 4TH AVE STE 104",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031268",
"telephone_number": "304-553-7802",
"fax_number": "681-205-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 4TH AVE STE 104",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031268",
"telephone_number": "304-553-7802",
"fax_number": "681-205-2617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LRD MANAGEMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-15",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "304-550-7480",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WV",
"license": "2017-9498-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Caring Senior Service of Charleston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.