Provider Demographics
NPI:1538152210
Name:LIVEASY MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:LIVEASY MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WINFREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:816-318-9950
Mailing Address - Street 1:801 N SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-1736
Mailing Address - Country:US
Mailing Address - Phone:816-318-9950
Mailing Address - Fax:816-318-9958
Practice Address - Street 1:801 N SCOTT
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-1736
Practice Address - Country:US
Practice Address - Phone:816-318-9950
Practice Address - Fax:816-318-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-26
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO18085407332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4532240001Medicare NSC