Lil Indian's Mobile Meals LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

LIL INDIAN'S MOBILE MEALS LLC

Practice address

3662 Loveland Rd.
Youngstown, OH 44502

Phone

(330) 881-1298

NPI assigned

Apr 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Priscilla Lynette Jackson

Title

Owner

Phone

(330) 881-1298

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1700449568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 LOVELAND RD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44502",
            "telephone_number": "330-881-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 LOVELAND RD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44502",
            "telephone_number": "330-881-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 Powers Way",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445023040",
            "country_code": "US",
            "telephone_number": "330-881-1298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 Powers Way",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445023040",
            "country_code": "US",
            "telephone_number": "330-881-1298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIL INDIAN'S MOBILE MEALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-881-1298",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meals Provider in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Meals Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.