Live Well Cpap and Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIVE WELL CPAP AND MEDICAL SUPPLY

Practice address

303 E Logan St
Caldwell, ID 83605-4863

Phone

(208) 269-1870

Fax

(208) 269-1870

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Mark Peterson, RPSGT

Title

Owner

Phone

(208) 269-1870

Specialties & licenses 1

Addresses

Other names 1

• Live Well CPAP and Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Live Well Cpap and Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Boise, ID
  • NPI 1710528211

  0749616597

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1285313874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054863",
            "telephone_number": "208-269-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054863",
            "telephone_number": "208-269-1870",
            "fax_number": "208-269-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CPAP AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-269-1870",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well CPAP and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Well CPAP and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten T Lewis, MS,CCC-SLP
• Nancy A Lindberg, RPH
• Cory Shane Lindstrom, D.C.
• Vicki Lea Lindstrom
• Heidi Line, FNP
• Joe Marie Franz Llenos, MD
• April R Lloyd
• Spencer James Lloyd, D.M.D.
• Hailey Long
• Hailey Lopez

• Durable Medical Equipment & Medical Supplies in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.