Organization Active NPI

Monroe County Meals on Wheels, Inc.

  • Home Delivered Meals
  • Stroudsburg, PA
National Provider Identifier
1760001853
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
MONROE COUNTY MEALS ON WHEELS, INC.
Practice address
901 Polk Valley Rd Ste 104
Stroudsburg, PA 18360-9559
Phone
(570) 424-8794
Fax
(570) 227-1340
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Ms. Heidi Fareri
Title
Executive Director
Phone
(570) 424-8794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

901 Polk Valley Rd Ste 104
Stroudsburg, PA 18360-9559

Mailing address

901 Polk Valley Rd Ste 104
Stroudsburg, PA 18360-9559
Phone (570) 424-8794

Other identifiers 1

IdentifierTypeStateIssuer
0017305300002MedicaidPA

National Provider Directory

National Provider Directory

Locations

901 Polk Valley Rd
Ste 104
Stroudsburg, PA 18360
Phone (570) 424-8794

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1760001853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 POLK VALLEY RD STE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609559",
            "telephone_number": "570-424-8794",
            "fax_number": "570-227-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 POLK VALLEY RD STE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609559",
            "telephone_number": "570-424-8794",
            "fax_number": "570-227-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY MEALS ON WHEELS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "FARERI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-424-8794",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017305300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.