Provider Demographics
NPI:1205264199
Name:MEALS ON WHEELS
Entity type:Organization
Organization Name:MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ORAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEENAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:516-739-1270
Mailing Address - Street 1:100 GARDEN CITY PLZ
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-3203
Mailing Address - Country:US
Mailing Address - Phone:516-739-1270
Mailing Address - Fax:516-739-1284
Practice Address - Street 1:100 GARDEN CITY PLZ
Practice Address - Street 2:SUITE 100
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3203
Practice Address - Country:US
Practice Address - Phone:516-739-1270
Practice Address - Fax:516-739-1284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE ASSOCIATION OF LONG ISLAND, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2905600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health