Organization Active NPI

Midwest Roll House LLC

  • Home Delivered Meals
  • Virginia Beach, VA
National Provider Identifier
1710891791
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
MIDWEST ROLL HOUSE LLC
Practice address
5009 Stedwick CT Apt 101
Virginia Beach, VA 23455-3815
Phone
(757) 681-2377
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Kinchassa Brown
Title
Managing Member
Phone
(757) 681-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary

Addresses

Primary practice location

5009 Stedwick CT Apt 101
Virginia Beach, VA 23455-3815

Mailing address

5009 Stedwick CT Apt 101
Virginia Beach, VA 23455-3815
Phone (757) 681-2377

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1710891791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 STEDWICK CT APT 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553815",
            "telephone_number": "757-681-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 STEDWICK CT APT 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553815",
            "telephone_number": "757-681-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ROLL HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KINCHASSA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-681-2377"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.