Healthcare Provider Details
I. General information
NPI: 1841013000
Provider Name (Legal Business Name): HEARTFELT MEALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34 E MONTGOMERY ST
ALLENTOWN PA
18103-4109
US
IV. Provider business mailing address
34 E MONTGOMERY ST
ALLENTOWN PA
18103-4109
US
V. Phone/Fax
- Phone: 610-674-9709
- Fax:
- Phone: 610-674-9709
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSE
M
VARGAS
Title or Position: HEAD OF ADMIN DEPARTMENT
Credential:
Phone: 610-674-9709