Healthcare Provider Details

I. General information

NPI: 1346590973
Provider Name (Legal Business Name): YUMMY MUMMY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 2ND AVENUE SUITE 203
NEW YORK NY
10128-5363
US

IV. Provider business mailing address

1751 2ND AVENUE SUITE 203
NEW YORK NY
10128-5363
US

V. Phone/Fax

Practice location:
  • Phone: 855-879-8669
  • Fax: 516-931-6348
Mailing address:
  • Phone: 855-879-8669
  • Fax: 516-931-6348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. AMANDA LAUREN COLE
Title or Position: FOUNDER/PRESIDENT
Credential: CLC
Phone: 609-670-4530