=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447175831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHOPPING BOARD CATERING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4719 LEXINGTON BLVD
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77459-2825
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-200-5609
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2054 SUMMER PLACE DR
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77489-3049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-200-5609
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. KEITH COOPER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-445-6664
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332U00000X
-----------------------------------------------------
Taxonomy Name | Home Delivered Meals
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------