MEDICARE: LIVEWELL MEDICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508012105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVEWELL MEDICAL INC

Provider Business Mailing Address
First Line	:	8421 OLD STATESVILLE RD
Second Line	:	SUITE 18
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1808
Country	:	US
Telephone Number	:	704-494-8849
Fax Number	:	704-494-8850

Provider Business Practice Location Address
First Line	:	7530 WHITE HORSE ROAD
Second Line	:	UNIT C
City	:	GREENVILLE
State	:	SC
Zip	:	29611-2000
Country	:	US
Telephone Number	:	864-246-5075
Fax Number	:	864-246-5085

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT STALEY
Credential	:
Telephone Number	:	704-494-8849

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	05/09/2012

Similar Medicare Providers

1710839188 — MADISON KING PT
Practice Location Address:

6705 WHITE HORSE RD
GREENVILLE, SC
29611-2503

Practice Phone: 704-654-8599
Practice Fax: 980-938-6088

1063030567 — ZACARIA TERRY BCBA
Practice Location Address:

6705 WHITE HORSE RD
GREENVILLE, SC
29611-2503

Practice Phone: 704-654-8599
Practice Fax:

1073513172 — MRS. JAVON A. MCKENZIE DDS
Practice Location Address:

3227 W BLUE RIDGE DR
GREENVILLE, SC
29611-3905

Practice Phone: 864-295-8888
Practice Fax: 864-295-1241

1609860394 — DON F. MCNEEL MD
Practice Location Address:

11402 ANDERSON RD STE B
GREENVILLE, SC
29611-7560

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

1770578130 — KAREN LEIGH WINGATE PT
Practice Location Address:

3400 ANDERSON RD
GREENVILLE, SC
29611-7651

Practice Phone: 864-335-4018
Practice Fax: 864-335-4019

1265413587 — DR. VALERIE S URBAN OPTOMETRIST
Practice Location Address:

3529 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-3550
Practice Fax: 864-295-3242

Directions to “LIVEWELL MEDICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.