MEDICARE: LIVING LIFE

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	251E00000X	Home Health Agency		MO

General Provider Information

NPI Number	:	1568525723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING LIFE

Provider Business Mailing Address
First Line	:	9706 E 90TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4749
Country	:	US
Telephone Number	:	816-737-9558
Fax Number	:

Provider Business Practice Location Address
First Line	:	9706 E 90TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4749
Country	:	US
Telephone Number	:	816-737-9558
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. CASSANDRA CHERYL SHAVER
Credential	:
Telephone Number	:	816-737-9558

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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Directions to “LIVING LIFE ” Practice Location

Language	Start Address	Practice Location

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