Is MOM'S KITCHEN, INC. active?

Yes — the North Dakota registry lists MOM'S KITCHEN, INC. as active, as of the 2026-08-08 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is MOM'S KITCHEN, INC. registered?

MOM'S KITCHEN, INC. is registered in North Dakota under company number 0000006776, first registered on December 14, 1982.

What type of company is MOM'S KITCHEN, INC.?

MOM'S KITCHEN, INC. is registered as a corporation with the North Dakota Secretary of State.

Does MOM'S KITCHEN, INC. have UCC liens?

No UCC financing statements name MOM'S KITCHEN, INC. as debtor in the indexed state registries.

Is MOM'S KITCHEN, INC. a federal contractor?

MOM'S KITCHEN, INC. appears in 5 federal recipient records (SAM.gov), indicating registration to receive federal awards. Obligation totals are not available for these records.

Does MOM'S KITCHEN, INC. hold any licenses?

9 license and credential records are matched to MOM'S KITCHEN, INC.. Each license, its type and issuing authority is listed in the Licenses section above.

What is the EIN of MOM'S KITCHEN, INC.?

The Employer Identification Number (EIN) on record for MOM'S KITCHEN, INC. is 592447763.

What public records are linked to MOM'S KITCHEN, INC.?

13 public records are linked to MOM'S KITCHEN, INC.: 1 in Filings, 9 in Licenses & authorities, 3 in Loans — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-08-08).

MOM'S KITCHEN, INC. — North Dakota Corporation No. 0000006776: Active, 1 filing

MOM'S KITCHEN, INC. is a North Dakota corporation, registered on December 14, 1982. It is based at 1329 1ST AVE S, FARGO, ND, 58103-1606, United States. The company is currently listed as active on the North Dakota register, is registered under company number 0000006776 and carries EIN 592447763. Public records for the company include 1 SoS registration, 5 federal contracts, 3 loan records and 9 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Source registry
Legal entity name	MOM'S KITCHEN, INC.
Former names	POPS ROADSIDE EATERY; TAILGATORS; MOM'S DINER; THE NESTOR; GATERS
Principal address	1329 1ST AVE SFARGO58103-1606NDUnited States
Mailing address	1329 1ST AVE S, FARGO, ND, 58103-1670, US
Registration state	North Dakota
Status	Active
Registered	14 December 1982 (over 43 years ago)
Entity type	Corporation
Standing	compliant
Company number	0000006776
EIN	592447763
Registered agent	RICHARD NYMARK

Public records	1 SoS registration

Federal contractor	Yes · 5 federal recipient records (SAM)
SBA loans	$126K · approved amounts

State	Business name	Filed	Registered agent	Officers	Status
North DakotaTHIS	MOM'S KITCHEN, INC.	1982-12-14	RICHARD NYMARK	—	Active
Filing ID 0000006776 Jurisdiction Domestic · Corporation Principal address 1329 1ST AVE S, FARGO, ND, 58103-1606, United States Registered agent RICHARD NYMARK1329 1ST AVE S, FARGO, ND, 58103-1606 Officers Not reported

State	License / ID	Type	Issued	Status
—	1861969305	Medicare / NPI provider	11/01/2018	Unknown
credential APRN, FNP-C deactivation date — entity type code 1 enumeration date 11/01/2018 first name LAUREN last name GATERS last update date 04/07/2026 mailing address 1 PO BOX 211699 mailing address 2 — mailing city EAGAN mailing country US mailing postal code 551213699 mailing state MN middle name — npi 1861969305 organization name — practice address 1 232 MARKET ST practice city FLOWOOD practice postal code 392323339 practice state MS reactivation date — taxonomy code 1 363LF0000X Source: NPI registry · document npi/
—	1124799291	Medicare / NPI provider	09/27/2021	Unknown
credential LMT deactivation date — entity type code 1 enumeration date 09/27/2021 first name MELANIE last name GATERS last update date 09/27/2021 mailing address 1 125 JEFF DAVIS AVE mailing address 2 — mailing city LONG BEACH mailing country US mailing postal code 395606134 mailing state MS middle name — npi 1124799291 organization name — practice address 1 125 JEFF DAVIS AVE practice city LONG BEACH practice postal code 395606134 practice state MS reactivation date — taxonomy code 1 225700000X Source: NPI registry · document npi/
—	1164738993	Medicare / NPI provider	08/31/2010	Unknown
credential — deactivation date — entity type code 1 enumeration date 08/31/2010 first name SHANA last name GATERS last update date 08/31/2010 mailing address 1 2560 C ST APT 26 mailing address 2 — mailing city SAN DIEGO mailing country US mailing postal code 921022162 mailing state CA middle name LAGLIVA npi 1164738993 organization name — practice address 1 140 ARBOR DR practice city SAN DIEGO practice postal code 921032007 practice state CA reactivation date — taxonomy code 1 104100000X Source: NPI registry · document npi/
—	1962050641	Medicare / NPI provider	08/27/2019	Unknown
credential — deactivation date — entity type code 1 enumeration date 08/27/2019 first name TRAVIS last name GATERS last update date 08/27/2019 mailing address 1 7624 N PORTSMOUTH AVE mailing address 2 — mailing city PORTLAND mailing country US mailing postal code 972035954 mailing state OR middle name A npi 1962050641 organization name — practice address 1 7624 N PORTSMOUTH AVE practice city PORTLAND practice postal code 972035954 practice state OR reactivation date — taxonomy code 1 101Y00000X Source: NPI registry · document npi/
—	1740807650	Medicare / NPI provider	06/26/2020	Unknown
credential LCSW-C deactivation date — entity type code 1 enumeration date 06/26/2020 first name LACEY last name GATERS last update date 06/26/2020 mailing address 1 1614 CANTWELL RD APT A mailing address 2 — mailing city WINDSOR MILL mailing country US mailing postal code 212441413 mailing state MD middle name — npi 1740807650 organization name — practice address 1 1614 CANTWELL RD APT A practice city WINDSOR MILL practice postal code 212441413 practice state MD reactivation date — taxonomy code 1 1041C0700X Source: NPI registry · document npi/
—	1538489232	Medicare / NPI provider	06/03/2010	Unknown
credential PLMHP deactivation date — entity type code 1 enumeration date 06/03/2010 first name EILEEN last name GATERS last update date 08/04/2011 mailing address 1 10625 CALHOUN RD mailing address 2 — mailing city OMAHA mailing country US mailing postal code 681121324 mailing state NE middle name MARIE npi 1538489232 organization name — practice address 1 10625 CALHOUN RD practice city OMAHA practice postal code 681121324 practice state NE reactivation date — taxonomy code 1 101YM0800X Source: NPI registry · document npi/
—	1730545500	Medicare / NPI provider	01/11/2016	Unknown
credential PA-C deactivation date — entity type code 1 enumeration date 01/11/2016 first name ALEXA last name GATERS last update date 04/29/2026 mailing address 1 4909 WATERS EDGE DR STE 100 mailing address 2 — mailing city RALEIGH mailing country US mailing postal code 276062462 mailing state NC middle name C npi 1730545500 organization name — practice address 1 4909 WATERS EDGE DR STE 100 practice city RALEIGH practice postal code 276062462 practice state NC reactivation date — taxonomy code 1 363A00000X Source: NPI registry · document npi/
North Carolina	1730545500	PHYSICIAN ASSISTANT	—	Unknown
address id NC276062462RA4909XDRXX401 address line 1 4909 WATERS EDGE DR address line 2 SUITE 100 address line 2 suppressed — city RALEIGH credential — facility name — first name ALEXA gender F graduation year 2015 group accepts assignment M individual accepts assignment Y individual enrollment id I20160523002075 individual pac id 9335438894 last name GATERS medical school OTHER middle name C npi 1730545500 num organization members — organization pac id — primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NC suffix — telehealth — telephone number — zip code 276062462 Source: CMS medicare providers · document cms-medicare/
North Carolina	1730545500	PHYSICIAN ASSISTANT	—	Unknown
address id NC276062462Ra4909XDRXX402 address line 1 4909 WATERS EDGE DR address line 2 SUITE 100 address line 2 suppressed — city Raleigh credential — facility name — first name ALEXA gender F graduation year 2015 group accepts assignment M individual accepts assignment Y individual enrollment id I20160523002075 individual pac id 9335438894 last name GATERS medical school OTHER middle name C npi 1730545500 num organization members — organization pac id — primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NC suffix — telehealth — telephone number — zip code 276062462 Source: CMS medicare providers · document cms-medicare/

State

License / ID

Type

Issued

Status

—

1861969305

Medicare / NPI provider

11/01/2018

Unknown

credential

APRN, FNP-C

deactivation date

—

entity type code

enumeration date

11/01/2018

first name

LAUREN

last name

GATERS

last update date

04/07/2026

mailing address 1

PO BOX 211699

mailing address 2

—

mailing city

EAGAN

mailing country

mailing postal code

551213699

mailing state

middle name

—

npi

1861969305

organization name

—

practice address 1

232 MARKET ST

practice city

FLOWOOD

practice postal code

392323339

practice state

reactivation date

—

taxonomy code 1

363LF0000X

Source: NPI registry · document npi/

—

1124799291

Medicare / NPI provider

09/27/2021

Unknown

credential

LMT

deactivation date

—

entity type code

enumeration date

09/27/2021

first name

MELANIE

last name

GATERS

last update date

09/27/2021

mailing address 1

125 JEFF DAVIS AVE

mailing address 2

—

mailing city

LONG BEACH

mailing country

mailing postal code

395606134

mailing state

middle name

—

npi

1124799291

organization name

—

practice address 1

125 JEFF DAVIS AVE

practice city

LONG BEACH

practice postal code

395606134

practice state

reactivation date

—

taxonomy code 1

225700000X

Source: NPI registry · document npi/

—

1164738993

Medicare / NPI provider

08/31/2010

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

08/31/2010

first name

SHANA

last name

GATERS

last update date

08/31/2010

mailing address 1

2560 C ST APT 26

mailing address 2

—

mailing city

SAN DIEGO

mailing country

mailing postal code

921022162

mailing state

middle name

LAGLIVA

npi

1164738993

organization name

—

practice address 1

140 ARBOR DR

practice city

SAN DIEGO

practice postal code

921032007

practice state

reactivation date

—

taxonomy code 1

104100000X

Source: NPI registry · document npi/

—

1962050641

Medicare / NPI provider

08/27/2019

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

08/27/2019

first name

TRAVIS

last name

GATERS

last update date

08/27/2019

mailing address 1

7624 N PORTSMOUTH AVE

mailing address 2

—

mailing city

PORTLAND

mailing country

mailing postal code

972035954

mailing state

middle name

npi

1962050641

organization name

—

practice address 1

7624 N PORTSMOUTH AVE

practice city

PORTLAND

practice postal code

972035954

practice state

reactivation date

—

taxonomy code 1

101Y00000X

Source: NPI registry · document npi/

—

1740807650

Medicare / NPI provider

06/26/2020

Unknown

credential

LCSW-C

deactivation date

—

entity type code

enumeration date

06/26/2020

first name

LACEY

last name

GATERS

last update date

06/26/2020

mailing address 1

1614 CANTWELL RD APT A

mailing address 2

—

mailing city

WINDSOR MILL

mailing country

mailing postal code

212441413

mailing state

middle name

—

npi

1740807650

organization name

—

practice address 1

1614 CANTWELL RD APT A

practice city

WINDSOR MILL

practice postal code

212441413

practice state

reactivation date

—

taxonomy code 1

1041C0700X

Source: NPI registry · document npi/

—

1538489232

Medicare / NPI provider

06/03/2010

Unknown

credential

PLMHP

deactivation date

—

entity type code

enumeration date

06/03/2010

first name

EILEEN

last name

GATERS

last update date

08/04/2011

mailing address 1

10625 CALHOUN RD

mailing address 2

—

mailing city

OMAHA

mailing country

mailing postal code

681121324

mailing state

middle name

MARIE

npi

1538489232

organization name

—

practice address 1

10625 CALHOUN RD

practice city

OMAHA

practice postal code

681121324

practice state

reactivation date

—

taxonomy code 1

101YM0800X

Source: NPI registry · document npi/

—

1730545500

Medicare / NPI provider

01/11/2016

Unknown

credential

PA-C

deactivation date

—

entity type code

enumeration date

01/11/2016

first name

ALEXA

last name

GATERS

last update date

04/29/2026

mailing address 1

4909 WATERS EDGE DR STE 100

mailing address 2

—

mailing city

RALEIGH

mailing country

mailing postal code

276062462

mailing state

middle name

npi

1730545500

organization name

—

practice address 1

4909 WATERS EDGE DR STE 100

practice city

RALEIGH

practice postal code

276062462

practice state

reactivation date

—

taxonomy code 1

363A00000X

Source: NPI registry · document npi/

North Carolina

1730545500

PHYSICIAN ASSISTANT

—

Unknown

address id

NC276062462RA4909XDRXX401

address line 1

4909 WATERS EDGE DR

address line 2

SUITE 100

address line 2 suppressed

—

city

RALEIGH

credential

—

facility name

—

first name

ALEXA

gender

graduation year

2015

group accepts assignment

individual accepts assignment

individual enrollment id

I20160523002075

individual pac id

9335438894

last name

GATERS

medical school

OTHER

middle name

npi

1730545500

num organization members

—

organization pac id

—

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

—

zip code

276062462

Source: CMS medicare providers · document cms-medicare/

North Carolina

1730545500

PHYSICIAN ASSISTANT

—

Unknown

address id

NC276062462Ra4909XDRXX402

address line 1

4909 WATERS EDGE DR

address line 2

SUITE 100

address line 2 suppressed

—

city

Raleigh

credential

—

facility name

—

first name

ALEXA

gender

graduation year

2015

group accepts assignment

individual accepts assignment

individual enrollment id

I20160523002075

individual pac id

9335438894

last name

GATERS

medical school

OTHER

middle name

npi

1730545500

num organization members

—

organization pac id

—

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

—

zip code

276062462

Source: CMS medicare providers · document cms-medicare/

Amount	Approved	Lender	Jobs	Status
$108,000	2004-11-02	—	—	PIF
approval date 2004-11-02 approval fiscal year 2005 as of date 2026-06-30 borrower city INDIANAPOLIS borrower name TAILGATORS borrower state IN borrower street 373 S. ILLINOIS STREET borrower zip 46225 business age Less than 4 years old but at least 3 business type CORPORATION cdc city Indianapolis cdc name Premier Capital Corporation cdc state IN cdc street 300 N. Meridian Street cdc zip 46204 charge off date — collateral ind N congressional district 7 first disbursement date 2005-03-16 franchise code — franchise name — gross approval 108000.0 gross charge off amount 0.0 jobs supported 10.0 loan status PIF location id 0188155 naics code 722110 naics description Full-Service Restaurants paid in full date 2015-02-28 processing method 504 Basic program 504 project county MARION project state IN sba district office INDIANA DISTRICT OFFICE term in months 240.0 thirdpartydollars 175000.0 thirdpartylender city WILMINGTON thirdpartylender name PNC Bank, National Association thirdpartylender state DE Source: SBA loans 7a 504 · document sba-7a-504/
$15,833	05/01/2020	Bank of America, National Association	4	Charged Off
borrower address 22 FOXHUNT DR borrower city BEAR borrower name MOM'S KITCHEN INC. borrower state DE borrower zip 19701-2534 business age description New Business or 2 years or less business type Corporation congressional district DE- current approval amount 15833 date approved 05/01/2020 debt interest proceed — ethnicity Unknown/NotStated forgiveness amount — forgiveness date — franchise name — gender Unanswered health care proceed — hubzone indicator N initial approval amount 15833 jobs reported 4 lmi indicator N loan number 6969787703 loan status Charged Off loan status date 12/21/2021 mortgage interest proceed — naics code 722511 non profit — originating lender Bank of America, National Association originating lender city CHARLOTTE originating lender location id 9551 originating lender state NC payroll proceed 15833 processing method PPP project city BEAR project county name NEW CASTLE project state DE project zip 19701-2534 race Unanswered refinance eidl proceed — rent proceed — rural urban indicator U sba guaranty percentage 100 sba office code 0341 servicing lender address 100 N Tryon St, Ste 170 servicing lender city CHARLOTTE servicing lender location id 9551 servicing lender name Bank of America, National Association servicing lender state NC servicing lender zip 28202-4024 term 2 undisbursed amount 0 utilities proceed — veteran Unanswered Source: SBA PPP loans · document sba-ppp/6969787703
$1,700	04/15/2020	Forward Bank	1	Paid in Full
borrower address 142 S 4th Ave. borrower city PARK FALLS borrower name TAILGATORS borrower state WI borrower zip 54552 business age description Existing or more than 2 years old business type Sole Proprietorship congressional district WI-07 current approval amount 1700 date approved 04/15/2020 debt interest proceed — ethnicity Unknown/NotStated forgiveness amount 1712.23 forgiveness date 01/07/2021 franchise name — gender Female Owned health care proceed — hubzone indicator Y initial approval amount 1700 jobs reported 1 lmi indicator N loan number 9842387109 loan status Paid in Full loan status date 02/04/2021 mortgage interest proceed — naics code 722410 non profit — originating lender Forward Bank originating lender city MARSHFIELD originating lender location id 79583 originating lender state WI payroll proceed 1700 processing method PPP project city PARK FALLS project county name PRICE project state WI project zip 54552-0001 race Unanswered refinance eidl proceed — rent proceed — rural urban indicator R sba guaranty percentage 100 sba office code 0563 servicing lender address 1001 N Central Ave servicing lender city MARSHFIELD servicing lender location id 79583 servicing lender name Forward Bank servicing lender state WI servicing lender zip 54449-2124 term 24 undisbursed amount 0 utilities proceed — veteran Unanswered Source: SBA PPP loans · document sba-ppp/9842387109

Amount

Approved

Lender

Jobs

Status

$108,000

2004-11-02

—

PIF

approval date

2004-11-02

approval fiscal year

2005

as of date

2026-06-30

borrower city

INDIANAPOLIS

borrower name

TAILGATORS

borrower state

borrower street

373 S. ILLINOIS STREET

borrower zip

46225

business age

Less than 4 years old but at least 3

business type

CORPORATION

cdc city

Indianapolis

cdc name

Premier Capital Corporation

cdc state

cdc street

300 N. Meridian Street

cdc zip

46204

charge off date

—

collateral ind

congressional district

first disbursement date

2005-03-16

franchise code

—

franchise name

—

gross approval

108000.0

gross charge off amount

0.0

jobs supported

10.0

loan status

PIF

location id

0188155

naics code

722110

naics description

Full-Service Restaurants

paid in full date

2015-02-28

processing method

504 Basic

program

504

project county

MARION

project state

sba district office

INDIANA DISTRICT OFFICE

term in months

240.0

thirdpartydollars

175000.0

thirdpartylender city

WILMINGTON

thirdpartylender name

PNC Bank, National Association

thirdpartylender state

Source: SBA loans 7a 504 · document sba-7a-504/

$15,833

05/01/2020

Bank of America, National Association

Charged Off

borrower address

22 FOXHUNT DR

borrower city

BEAR

borrower name

MOM'S KITCHEN INC.

borrower state

borrower zip

19701-2534

business age description

New Business or 2 years or less

business type

Corporation

congressional district

DE-

current approval amount

15833

date approved

05/01/2020

debt interest proceed

—

ethnicity

Unknown/NotStated

forgiveness amount

—

forgiveness date

—

franchise name

—

gender

Unanswered

health care proceed

—

hubzone indicator

initial approval amount

15833

jobs reported

lmi indicator

loan number

6969787703

loan status

Charged Off

loan status date

12/21/2021

mortgage interest proceed

—

naics code

722511

non profit

—

originating lender

Bank of America, National Association

originating lender city

CHARLOTTE

originating lender location id

9551

originating lender state

payroll proceed

15833

processing method

PPP

project city

BEAR

project county name

NEW CASTLE

project state

project zip

19701-2534

race

Unanswered

refinance eidl proceed

—

rent proceed

—

rural urban indicator

sba guaranty percentage

100

sba office code

0341

servicing lender address

100 N Tryon St, Ste 170

servicing lender city

CHARLOTTE

servicing lender location id

9551

servicing lender name

Bank of America, National Association

servicing lender state

servicing lender zip

28202-4024

term

undisbursed amount

utilities proceed

—

veteran

Unanswered

Source: SBA PPP loans · document sba-ppp/6969787703

$1,700

04/15/2020

Forward Bank

Paid in Full

borrower address

142 S 4th Ave.

borrower city

PARK FALLS

borrower name

TAILGATORS

borrower state

borrower zip

54552

business age description

Existing or more than 2 years old

business type

Sole Proprietorship

congressional district

WI-07

current approval amount

1700

date approved

04/15/2020

debt interest proceed

—

ethnicity

Unknown/NotStated

forgiveness amount

1712.23

forgiveness date

01/07/2021

franchise name

—

gender

Female Owned

health care proceed

—

hubzone indicator

initial approval amount

1700

jobs reported

lmi indicator

loan number

9842387109

loan status

Paid in Full

loan status date

02/04/2021

mortgage interest proceed

—

naics code

722410

non profit

—

originating lender

Forward Bank

originating lender city

MARSHFIELD

originating lender location id

79583

originating lender state

payroll proceed

1700

processing method

PPP

project city

PARK FALLS

project county name

PRICE

project state

project zip

54552-0001

race

Unanswered

refinance eidl proceed

—

rent proceed

—

rural urban indicator

sba guaranty percentage

100

sba office code

0563

servicing lender address

1001 N Central Ave

servicing lender city

MARSHFIELD

servicing lender location id

79583

servicing lender name

Forward Bank

servicing lender state

servicing lender zip

54449-2124

term

undisbursed amount

utilities proceed

—

veteran

Unanswered

Source: SBA PPP loans · document sba-ppp/9842387109

MOM'S KITCHEN, INC.

Contacts

Financials

Industry

Secretary of State Filings

Connections

Liens

Permits

Licenses & authorities

Loans

H-1B

E-Verify

Copyrights

FEC

Customs

401(k)

SEC

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Frequently asked questions

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