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NPI Code Detail

MEDICARE: PINATA FOODS INC

MEDICARE: PINATA FOODS INC
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
1174200000XMeals Provider
2332U00000XHome Delivered Meals
3335G00000XMedical Foods Supplier

General Provider Information

NPI Number : 1871427484
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINATA FOODS INC
Provider Business Mailing Address
First Line : 3590 W 58TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5663
Country : US
Telephone Number : 216-281-8811
Fax Number :
Provider Business Practice Location Address
First Line : 3590 W 58TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5663
Country : US
Telephone Number : 216-281-8811
Fax Number :
Authorized Official
Title or Position : CHIEF MANUFACTURING OFFICER
Name : MR. GRANT LORSUNG
Credential :
Telephone Number : 949-531-1804
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “PINATA FOODS INC ” Practice Location

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