Healthcare Provider Details

I. General information

NPI: 1033023882
Provider Name (Legal Business Name): MAMA SHEYS HOMESTYLE COOKING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W APSLEY ST
PHILADELPHIA PA
19144-3602
US

IV. Provider business mailing address

106 W APSLEY ST
PHILADELPHIA PA
19144-3602
US

V. Phone/Fax

Practice location:
  • Phone: 261-213-8039
  • Fax:
Mailing address:
  • Phone: 261-213-8039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. NASHEY HINES
Title or Position: OWNER/MANAGER
Credential:
Phone: 302-729-3121