Provider Demographics
NPI:1043037898
Name:SEASONED HOME MEALS LLC
Entity type:Organization
Organization Name:SEASONED HOME MEALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-471-7607
Mailing Address - Street 1:450 S STATE ROAD 135 STE A
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1454
Mailing Address - Country:US
Mailing Address - Phone:317-360-9605
Mailing Address - Fax:317-300-0612
Practice Address - Street 1:450 S STATE ROAD 135 STE A
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1454
Practice Address - Country:US
Practice Address - Phone:317-360-9605
Practice Address - Fax:317-300-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care