RUSTIC CANTEEN LLC NPI 1629803697

NPI Information

  • NPI: 1629803697
  • Provider Name: RUSTIC CANTEEN, LLC
  • Classification: Home Delivered Meals - 332U00000X
  • Entity Type: Organization
  • Address: 6465 W COLFAX AVE
    LAKEWOOD, CO
    ZIP 80214
  • Phone: (949) 463-0603

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NPI Details

RUSTIC CANTEEN, LLC is a home delivered meals in Lakewood, CO. The provider is 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; and information and referral. RUSTIC CANTEEN, LLC NPI is 1629803697. The provider is registered as an organization entity type.

The provider's business location address is:

6465 W COLFAX AVE
LAKEWOOD, CO
ZIP 80214-801
Phone: (949) 463-0603

The provider's authorized official is Marco Ramirez .
The authorized official title is Owner and has the following contact phone number (949) 463-0603.

The enumeration date for this NPI number is 9/7/2024 and was last updated on 9/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332U00000XHome Delivered MealsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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