LIC COM, LLC
NPI 1508724089
Home Delivered Meals in Bronx, NY

Active since January 13, 2026
509 MANIDA ST, BRONX, NY 10474(888) 676-2892(518) 797-6257 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2026, Jan 13, 2026 (2 updates tracked since 2026).

About Lic Com, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIC COM, LLC (NPI 1508724089), doing business as Kommissary, is a healthcare organization registered as a home delivered meals in Bronx, New York and active in the NPI registry since January 2026. The organization lists Ethan Lee, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508724089
Entity TypeOrganization
Primary Taxonomy332U00000X
Legal Business NameLIC COM, LLC
Location Address509 MANIDA STBronx, NY 10474-6821
Mailing Address509 Manida StBronx, NY 10474-6821 · (888) 676-2892 · Fax (518) 797-6257
Fax(518) 797-6257
Organization SubpartNo
Authorized OfficialEthan LeeCfo · (201) 556-8312
Enumeration DateJanuary 13, 2026
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1508724089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHome Delivered MealsSuppliers
Taxonomy Code332U00000X
Definition
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.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedMedical Foods SupplierTaxonomy 335G00000X
509 MANIDA ST, Bronx, NY 10474

Other Names 1

Doing Business AsKommissary

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lic Com, LLC's NPI number?

The NPI number for Lic Com, LLC is 1508724089. It was assigned to this organization in the NPPES registry on January 13, 2026. The provider is doing business as Kommissary.

Where is Lic Com, LLC located?

Lic Com, LLC is located at 509 Manida St, Bronx, NY 10474. The listed phone number is (888) 676-2892.

What is Lic Com, LLC's specialty?

The primary specialty registered for this NPI is Home Delivered Meals with taxonomy code 332U00000X.

When was this NPI record last updated?

The NPPES record for Lic Com, LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.