Provider Demographics
NPI:1235332123
Name:LUNCHTIME SOLUTIONS, INC.
Entity Type:Organization
Organization Name:LUNCHTIME SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-235-0939
Mailing Address - Street 1:3100 W 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-0100
Mailing Address - Country:US
Mailing Address - Phone:605-235-0939
Mailing Address - Fax:605-235-0942
Practice Address - Street 1:3100 WEST FOURTH STREET
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-0100
Practice Address - Country:US
Practice Address - Phone:605-235-0939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IARSSX0068282332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0499921Medicaid