MEDICARE: LIVEASY MEDICAL EQUIPMENT 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	332B00000X	Durable Medical Equipment & Medical Supplies	18085407	MO

General Provider Information

NPI Number	:	1538152210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVEASY MEDICAL EQUIPMENT INC.

Provider Business Mailing Address
First Line	:	801 N SCOTT AVE
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-1736
Country	:	US
Telephone Number	:	816-318-9950
Fax Number	:	816-318-9958

Provider Business Practice Location Address
First Line	:	801 N SCOTT
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-1736
Country	:	US
Telephone Number	:	816-318-9950
Fax Number	:	816-318-9958

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROY M WINFREY JR.
Credential	:
Telephone Number	:	816-318-9950

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	11/07/2007

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