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

11513 W Fairview Ave Ste 106
Boise, ID 83713-7887

Phone

(208) 971-2888

NPI assigned

Oct 5, 2019

Organization subpart

No

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

Authorized official

Name

Mark Eric Peterson, RPSGT

Title

Owner

Phone

(208) 971-2888

Specialties & licenses 1

Addresses

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
  • Caldwell, ID
  • NPI 1285313874

  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": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1710528211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 W FAIRVIEW AVE STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137887",
            "telephone_number": "208-971-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 W FAIRVIEW AVE STE 106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137887",
            "telephone_number": "208-971-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CPAP AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-971-2888",
        "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": []
}

• Kenneth M Little, MD
• Kyle Joseph Little, PA-S
• Terry M Little, D.O.
• Scott Litton
• Ruimin Liu, L.AC.
• Live Well Health and Nutrition PLLC
• Livewell Health and Wellness LLC
• Living Hope Clinic Inc
• Living Independence Network Corporation
• Living Independently Forever, Inc.

• Durable Medical Equipment & Medical Supplies in Boise, ID
• Providers in Boise, 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 Apr 15, 2026; 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.