Active NPI
Meals on Wheels of Odessa, Inc.
- Home Delivered Meals
- Odessa, TX
National Provider Identifier
1437555794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- MEALS ON WHEELS OF ODESSA, INC.
- Practice address
- 1314 E 5TH St
Odessa, TX 79761-4710 - Phone
- (432) 333-6451
- Fax
- (432) 333-5477
- NPI assigned
- Nov 14, 2014
- Last updated
- Jan 9, 2023
- 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
- Raymon C Stoker
- Title
- Executive Director
- Phone
- (432) 333-6451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
1314 E 5TH St
Odessa, TX 79761-4710
Mailing address
PO Box 15
Odessa, TX 79760-0015
Phone (432) 333-6451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437555794 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1314 E 5th St
Odessa, TX 79761
Phone (432) 333-6451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1437555794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15",
"city": "ODESSA",
"state": "TX",
"postal_code": "797600015",
"telephone_number": "432-333-6451",
"fax_number": "432-333-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614710",
"telephone_number": "432-333-6451",
"fax_number": "432-333-5477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEALS ON WHEELS OF ODESSA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-14",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "STOKER",
"authorized_official_first_name": "RAYMON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "432-333-6451"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437555794",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.