Livewell Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIVEWELL MEDICAL INC

Practice address

7530 White Horse Road
Unit C
Greenville, SC 29611-2000

Phone

(864) 246-5075

Fax

(864) 246-5085

NPI assigned

Aug 14, 2008

Organization subpart

Yes

Parent organization

LIVEWELL MEDICAL INCAs reported in NPPES

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

Authorized official

Name

Mr. Scott Staley

Title

President

Phone

(704) 494-8849

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Livewell Medical Inc

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1508012105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 OLD STATESVILLE RD",
            "address_2": "SUITE 18",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691808",
            "telephone_number": "704-494-8849",
            "fax_number": "704-494-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 WHITE HORSE ROAD",
            "address_2": "UNIT C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112000",
            "telephone_number": "864-246-5075",
            "fax_number": "864-246-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVEWELL MEDICAL INC",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-494-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3234",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705314",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Greenville, SC
• Providers in Greenville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.