MEDICARE: MEDMEAL DIRECT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174200000X	Meals Provider

General Provider Information

NPI Number	:	1831935279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDMEAL DIRECT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6096
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70009
Country	:	US
Telephone Number	:	504-909-5282
Fax Number	:	504-389-1019

Provider Business Practice Location Address
First Line	:	1 GALLERIA BLVD
Second Line	:	SUITE 710C
City	:	METAIRIE
State	:	LA
Zip	:	70001
Country	:	US
Telephone Number	:	504-372-0266
Fax Number	:	504-389-1019

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	COREY JOSEPH HEBERT
Credential	:	M.D.
Telephone Number	:	504-957-5701

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	12/02/2025

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