MEDICARE: CHEF BORELS MEALS.ORG:INC

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	251E00000X	Home Health Agency
2	174200000X	Meals Provider

General Provider Information

NPI Number	:	1851129225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEF BORELS MEALS.ORG:INC

Provider Business Mailing Address
First Line	:	6950 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2739
Country	:	US
Telephone Number	:	317-492-9448
Fax Number	:

Provider Business Practice Location Address
First Line	:	6950 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2739
Country	:	US
Telephone Number	:	317-492-9448
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THERESA M BOREL
Credential	:
Telephone Number	:	317-492-9448

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	07/25/2024

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