Provider Demographics
NPI:1780261131
Name:HOMEBOUND MEALS, INC
Entity type:Organization
Organization Name:HOMEBOUND MEALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:UMBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-422-3296
Mailing Address - Street 1:PO BOX 10179
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46850-0179
Mailing Address - Country:US
Mailing Address - Phone:260-422-3296
Mailing Address - Fax:
Practice Address - Street 1:611 W BERRY ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2105
Practice Address - Country:US
Practice Address - Phone:260-422-3296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals