Organization
LIVEWELL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT STALEY (PRESIDENT)
(704) 494-8849
Entity
Organization
Contact information
Practice address
8421 OLD STATESVILLE RD, SUITE 18, CHARLOTTE, NC 28269-1808
(704) 494-8849
(704) 494-8850
Mailing address
8421 OLD STATESVILLE RD, SUITE 18, CHARLOTTE, NC 28269-1808
(704) 494-8849
(704) 494-8850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705319
—
NC
05
—
DE2703
—
SC
Enumeration date
09/14/2006
Last updated
05/09/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up