Organization Active NPI

W.R. Catering, Inc.

  • Home Delivered Meals
  • Middlefield, OH
National Provider Identifier
1124797873
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
W.R. CATERING, INC.
Practice address
15045 Berkshire Industrial Pkwy
Middlefield, OH 44062-9391
Phone
(440) 729-6800
Fax
(866) 319-5481
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Frank CarlsonNPI 1215796008
Title
Ceo
Phone
(440) 487-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

15045 Berkshire Industrial Pkwy
Middlefield, OH 44062-9391

Mailing address

11642 Aquilla Rd
Chardon, OH 44024-7927
Phone (440) 487-7705

Other identifiers 1

IdentifierTypeStateIssuer
2210799MedicaidOH

Other names 1

  • Western Reserve Catering Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Reserve Catering2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15045 Berkshire Industrial Pkwy
Middlefield, OH 44062
Phone (440) 729-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1124797873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11642 AQUILLA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247927",
            "telephone_number": "440-487-7705",
            "fax_number": "866-319-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15045 BERKSHIRE INDUSTRIAL PKWY",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629391",
            "telephone_number": "440-729-6800",
            "fax_number": "866-319-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.R. CATERING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-487-7705"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Reserve Catering",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.