Healthcare Provider Details

I. General information

NPI: 1831902030
Provider Name (Legal Business Name): BSAC2 DBA HEALTHFULMEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 PARK OF COMMERCE BLVD STE 600
BOCA RATON FL
33487-3633
US

IV. Provider business mailing address

791 PARK OF COMMERCE BLVD STE 600
BOCA RATON FL
33487-3633
US

V. Phone/Fax

Practice location:
  • Phone: 240-432-7876
  • Fax:
Mailing address:
  • Phone: 240-432-7876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RUTH MADEJA
Title or Position: SVP PARTNERSHIPS
Credential:
Phone: 949-340-4514