MEDICARE: RFOODX 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	:	1952261844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RFOODX LLC

Provider Business Mailing Address
First Line	:	2550 PACIFIC AVE STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1494
Country	:	US
Telephone Number	:	888-277-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 PACIFIC AVE STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1494
Country	:	US
Telephone Number	:	888-277-8528
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TAYLOR CARVAJAL
Credential	:
Telephone Number	:	310-721-0361

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	12/01/2025

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