Provider Demographics
NPI:1891819967
Name:MOBILE MEALS, INC.
Entity Type:Organization
Organization Name:MOBILE MEALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-7717
Mailing Address - Street 1:1063 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2340
Mailing Address - Country:US
Mailing Address - Phone:330-376-7717
Mailing Address - Fax:330-253-3115
Practice Address - Street 1:1063 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2340
Practice Address - Country:US
Practice Address - Phone:330-376-7717
Practice Address - Fax:330-253-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5070-130OtherAAOA CARE COORDINATION
OH0925986Medicaid
OH411663OtherAAOA PASSPORT PROGRAM
OH411663OtherAAOA PASSPORT PROGRAM