MEDICARE: MEALS ON WHEELS AND MORE, 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	332U00000X	Home Delivered Meals

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1559	OTHER	TX	CONTRACT BILLING NUMBER

General Provider Information

NPI Number	:	1831233758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEALS ON WHEELS AND MORE, INC.

Provider Business Mailing Address
First Line	:	3227 E 5TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4907
Country	:	US
Telephone Number	:	512-476-6325
Fax Number	:	512-476-6478

Provider Business Practice Location Address
First Line	:	3227 E 5TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4907
Country	:	US
Telephone Number	:	512-476-6325
Fax Number	:	512-476-6478

Authorized Official
Title or Position	:	CEO
Name	:	HENRY VAN DE PUTTE
Credential	:
Telephone Number	:	512-476-6325

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	10/02/2024

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