Organization Active NPI

Meals on Wheels of Odessa, Inc.

  • Home Delivered Meals
  • Odessa, TX
National Provider Identifier
1437555794
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1437555794MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.