Fit Clean Meals LLC

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

FIT CLEAN MEALS LLC

Practice address

220 W Elk Ave
Elizabethton, TN 37643-2612

Phone

(423) 561-1623

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Ajay KolethNPI 1477290484

Title

Owner

Phone

(423) 561-1623

Specialties & licenses 1

Addresses

Other names 1

• Fit Clean Meals Doing business as

Locations

Practitioners 1

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

• Ajay Philip Koleth

  • Nutrition Education Nutritionist
  • Elizabethton, TN
  • NPI 1477290484
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1437876604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CARVER RD",
            "city": "UNICOI",
            "state": "TN",
            "postal_code": "376924437",
            "telephone_number": "408-813-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432612",
            "telephone_number": "423-561-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT CLEAN MEALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "KOLETH",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-561-1623"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit Clean Meals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fast Pace Medical Clinic PLLC
• David Kenneth Fenner, MD
• Diana F Finlay, LCSW
• First Medical Group Inc
• First Medical Group Inc.
• Frontier Health
• William Allan Garrett Jr., MD
• Jason Paul Garst
• Abigail Gass, M.D.
• Jerry L Gastineau

• Home Delivered Meals in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Home Delivered Meals in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.