MEDICARE: GR8 PLATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174200000X	Meals Provider

General Provider Information

NPI Number	:	1437036431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GR8 PLATES LLC

Provider Business Mailing Address
First Line	:	3500 PAYNE AVE STE MA
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-4316
Country	:	US
Telephone Number	:	216-406-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 PAYNE AVE STE MA
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-4316
Country	:	US
Telephone Number	:	216-406-6661
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAVETTE HINTON
Credential	:
Telephone Number	:	216-406-6661

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	08/20/2025

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Directions to “GR8 PLATES LLC ” Practice Location

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