Mable's Kitchen LTD

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

01585065 Issued in IL

Legal business name

MABLE'S KITCHEN LTD

Practice address

8833 W 87TH St
Hickory Hills, IL 60457-1001

Phone

(708) 743-7666

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey McClenton

Title

President

Phone

(708) 743-7666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1710354824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N PARK RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 W 87TH ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571001",
            "telephone_number": "708-743-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLE'S KITCHEN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "MCCLENTON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-743-7666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IL",
            "license": "01585065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Latham
• Renee Lisak, PHARMD
• LKS Dental Inc
• Loyola University Medical Center (Loyola University Home Infusion)
• Loyola University Medical Center
• Ramune R. Maciejauskas-Waters, D.D.S.
• Aysha Mahmood, MSW
• Dennis Eugene Malecki, MD
• Mark 2 Supplies LLC
• Mark 2 Supplies LLC

• Home Delivered Meals in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Home Delivered Meals in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.