Divine Redeemer Mobile Meals

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

DIVINE REDEEMER MOBILE MEALS

Practice address

1530 Oakdale Ave
West St Paul, MN 55118-3502

Phone

(612) 623-3363

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Joan Ward

Title

Coordinator

Phone

(612) 623-3363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1386090660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 OAKDALE AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183502",
            "telephone_number": "612-623-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 OAKDALE AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183502",
            "telephone_number": "612-623-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE REDEEMER MOBILE MEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "COORDINATOR",
        "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": "A702016300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hidayo Elmi, DDS
• Adam Reed Elwood, MS, LPCC, LMHC
• Evernear Care Corp.

• Home Delivered Meals in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Home Delivered Meals in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.