Organization Active NPI

Meals on Wheels Western Michigan

  • Home Delivered Meals
  • Grandville, MI
National Provider Identifier
1699598284
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
MEALS ON WHEELS WESTERN MICHIGAN
Practice address
2900 Wilson Ave SW Ste 500
Grandville, MI 49418-1395
Phone
(616) 459-3111
Fax
(616) 224-0220
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Lisa Wideman
Title
President/Ceo
Phone
(616) 403-2060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Delivered Meals 332U00000X Primary
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

2900 Wilson Ave SW Ste 500
Grandville, MI 49418-1395

Mailing address

2900 Wilson Ave SW Ste 500
Grandville, MI 49418-1395
Phone (616) 459-3111

National Provider Directory

National Provider Directory

Locations

2900 Wilson Ave SW
Ste 500
Grandville, MI 49418
Phone (616) 459-3111

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1699598284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WILSON AVE SW STE 500",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181395",
            "telephone_number": "616-459-3111",
            "fax_number": "616-224-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WILSON AVE SW STE 500",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181395",
            "telephone_number": "616-459-3111",
            "fax_number": "616-224-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEALS ON WHEELS WESTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "616-403-2060"
    },
    "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
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.