Active NPI
Hot Meals for Shut Ins
- Home Delivered Meals
- Fridley, MN
National Provider Identifier
1174946131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- HOT MEALS FOR SHUT INS
- Practice address
- 550 Osborne Rd NE
Fridley, MN 55432-2718 - Phone
- (763) 236-3636
- Fax
- (763) 236-3642
- NPI assigned
- Jan 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Plasencia
- Title
- Manager
- Phone
- (612) 623-3363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
550 Osborne Rd NE
Fridley, MN 55432-2718
Mailing address
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone (763) 236-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A549020100 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390867200000",
"number": "1174946131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 OSBORNE RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322718",
"telephone_number": "763-236-3636",
"fax_number": "763-236-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 OSBORNE RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322718",
"telephone_number": "763-236-3636",
"fax_number": "763-236-3642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOT MEALS FOR SHUT INS",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A",
"authorized_official_last_name": "PLASENCIA",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "612-623-3363"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A549020100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.