Organization · Type 2 NPI

Lic Com, LLC

Home Delivered Meals · Bronx, NY

NPI number 1508724089 Active

Practice location

509 Manida St
Bronx, NY 10474-6821

Fax (518) 797-6257

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Home Delivered Meals Primary 332U00000XNone listed
Medical Foods Supplier 335G00000XNone listed

Home Delivered Meals: Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; a…

About NPI 1508724089

Lic Com, LLC's National Provider Identifier is 1508724089, issued on Jan 13, 2026. The primary taxonomy on file is Home Delivered Meals (332U00000X), and the practice location is in Bronx, NY. The record was last updated on Jan 22, 2026.