Healthcare Provider Details

I. General information

NPI: 1487197687
Provider Name (Legal Business Name): YUMMY MUMMY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 2ND AVE RM 203
NEW YORK NY
10128-5363
US

IV. Provider business mailing address

1751 2ND AVE RM 203
NEW YORK NY
10128-5363
US

V. Phone/Fax

Practice location:
  • Phone: 855-879-8669
  • Fax: 855-291-5930
Mailing address:
  • Phone: 424-622-9070
  • Fax: 877-683-5038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LAUREN COLE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 855-879-8669