Healthcare Provider Details

I. General information

NPI: 1548172364
Provider Name (Legal Business Name): CAPITAL HEARTFELT MEALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3783 AVENEL CT
FAIRFAX VA
22033-2573
US

IV. Provider business mailing address

3783 AVENEL CT
FAIRFAX VA
22033-2573
US

V. Phone/Fax

Practice location:
  • Phone: 703-625-2255
  • Fax:
Mailing address:
  • Phone: 703-625-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: NIVEDITA GOKHALE
Title or Position: CEO
Credential:
Phone: 703-625-2255