Organization 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
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2017-9498-00 Issued in WV
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

Updated by the provider on Dec 15, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caring Senior Service of Charleston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.