Active NPI
Healthe Home Delivered Meals Inc
- Home Delivered Meals
- Ft Lauderdale, FL
National Provider Identifier
1689982647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- License
- NOS1616322
- Legal business name
- HEALTHE HOME DELIVERED MEALS INC
- Practice address
- 6876 Powerline Rd
Ft Lauderdale, FL 33309-2156 - Phone
- (954) 975-9611
- Fax
- (954) 974-8073
- NPI assigned
- Sep 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzette M Wenner
- Title
- President
- Phone
- (954) 975-9611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | NOS1616322 | FL | Primary |
Addresses
Primary practice location
6876 Powerline Rd
Ft Lauderdale, FL 33309-2156
Mailing address
3606 S Ocean Blvd
#204
Highland Beach, FL 33487-3351
Phone (954) 975-9611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080475401 | Other | FL | MEDICAID WAIVER |
| 080475400 | Other | FL | MEDICAID WAIVER |
National Provider Directory
National Provider DirectoryLocations
6876 Powerline Rd
Ft Lauderdale, FL 33309
Phone (954) 975-9611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1689982647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 S OCEAN BLVD",
"address_2": "#204",
"city": "HIGHLAND BEACH",
"state": "FL",
"postal_code": "334873351",
"telephone_number": "954-975-9611",
"fax_number": "954-974-8073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6876 POWERLINE RD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333092156",
"telephone_number": "954-975-9611",
"fax_number": "954-974-8073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHE HOME DELIVERED MEALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "WENNER",
"authorized_official_first_name": "SUZETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-975-9611",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "FL",
"license": "NOS1616322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "080475401",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "080475400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.