Organization Active NPI

Shakopee Mobile Meals

  • Home Delivered Meals
  • Shakopee, MN
National Provider Identifier
1104140169
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SHAKOPEE MOBILE MEALS
Practice address
1963 Boulder PT
Shakopee, MN 55379-3618
Phone
(952) 445-3058
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Lee Harcey
Title
Bookkeeper
Phone
(952) 445-3058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1963 Boulder PT
Shakopee, MN 55379-3618

Mailing address

1963 Boulder PT
Shakopee, MN 55379-3618
Phone (952) 445-3058

Other identifiers 1

IdentifierTypeStateIssuer
A470159300OtherMNHEALTH PARTNERS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1104140169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 BOULDER PT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793618",
            "telephone_number": "952-445-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 BOULDER PT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793618",
            "telephone_number": "952-445-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKOPEE MOBILE MEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "HARCEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "952-445-3058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "A470159300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.