Organization Active NPI

Maxies Catered Experience LLC

  • Home Delivered Meals
  • Philadelphia, PA
National Provider Identifier
1518890680
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
MAXIES CATERED EXPERIENCE LLC
Practice address
463 W Coulter St
Philadelphia, PA 19144-4552
Phone
(215) 917-8407
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Nidearah Robertson
Title
Ceo,Executive Chef
Phone
(215) 917-8407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

463 W Coulter St
Philadelphia, PA 19144-4552

Mailing address

463 W Coulter St
Philadelphia, PA 19144-4552
Phone (215) 917-8407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1518890680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 W COULTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444552",
            "telephone_number": "215-917-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 W COULTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444552",
            "telephone_number": "215-917-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIES CATERED EXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "NIDEARAH",
        "authorized_official_title_or_position": "CEO,EXECUTIVE CHEF",
        "authorized_official_telephone_number": "215-917-8407"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.