Organization Active NPI

Food4Forlife

  • Meals Provider
  • Bala Cynwyd, PA
National Provider Identifier
1629804745
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
FOOD4FORLIFE
Practice address
45 E City Ave Ste 463
Bala Cynwyd, PA 19004-2421
Phone
(267) 970-9121
NPI assigned
Sep 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Jackie Santiago
Title
Coordinator
Phone
(267) 970-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

45 E City Ave Ste 463
Bala Cynwyd, PA 19004-2421

Mailing address

45 E City Ave Ste 463
Bala Cynwyd, PA 19004-2421
Phone (267) 970-9121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1629804745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E CITY AVE STE 463",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042421",
            "telephone_number": "267-970-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E CITY AVE STE 463",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042421",
            "telephone_number": "267-970-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD4FORLIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "267-970-9121"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.