Organization Active NPI

Performance Kitchen, PBC

  • Home Delivered Meals
  • Wilmington, DE
National Provider Identifier
1528639374
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
PERFORMANCE KITCHEN, PBC
Practice address
1209 N Orange St
Wilmington, DE 19801-1120
Phone
(206) 432-9849
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Heather Milligan
Title
Senior Accountant
Phone
(425) 503-4603

Specialties & licenses 2

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

Addresses

Primary practice location

1209 N Orange St
Wilmington, DE 19801-1120

Mailing address

250 H Street, PMB 4600
Blaine, WA 98230
Phone (866) 621-9029

National Provider Directory

National Provider Directory

Locations

250 H St
Blaine, WA 98230

810 SW 151st St
Burien, WA 98166

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1528639374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 H STREET, PMB 4600",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "98230",
            "telephone_number": "866-621-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N ORANGE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011120",
            "telephone_number": "206-432-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE KITCHEN, PBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "425-503-4603"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.