MEDICARE: HEALTHMATE INTERNATIONAL,LLC

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	LC1061297	MO

General Provider Information

NPI Number	:	1538528799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHMATE INTERNATIONAL,LLC

Provider Business Mailing Address
First Line	:	8901 WASHINGTON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 WASHINGTON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3533
Country	:	US
Telephone Number	:	816-359-3478
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEI DODSON
Credential	:
Telephone Number	:	816-359-3478

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	02/16/2016

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