Healthcare Provider Details

I. General information

NPI: 1013748441
Provider Name (Legal Business Name): MEALS DIRECT OF DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 H ST NW STE. 840
WASHINGTON DC
20005
US

IV. Provider business mailing address

3801 ARAMINGO AVE UNIT 27
PHILADELPHIA PA
19137-1003
US

V. Phone/Fax

Practice location:
  • Phone: 215-613-6464
  • Fax: 717-918-5643
Mailing address:
  • Phone: 215-613-6464
  • Fax: 717-910-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JAMES DIVERGILIS
Title or Position: GENERAL COUNSEL
Credential:
Phone: 215-301-4162