Provider Demographics
NPI:1235452517
Name:TINA'S MEALS LLC
Entity Type:Organization
Organization Name:TINA'S MEALS LLC
Other - Org Name:TINA MEALS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVAR
Authorized Official - Middle Name:DANTE
Authorized Official - Last Name:KHALFANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-497-7580
Mailing Address - Street 1:1032 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1645
Mailing Address - Country:US
Mailing Address - Phone:513-227-4221
Mailing Address - Fax:
Practice Address - Street 1:1032 JACKSON ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1645
Practice Address - Country:US
Practice Address - Phone:513-227-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200934500526332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals