Healthcare Provider Details

I. General information

NPI: 1548175250
Provider Name (Legal Business Name): UNCLE BS LEGENDARY CUISINE AND CATERING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WESTBANK EXPY
GRETNA LA
70053-3648
US

IV. Provider business mailing address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

V. Phone/Fax

Practice location:
  • Phone: 504-438-7434
  • Fax:
Mailing address:
  • Phone: 504-438-7434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: BRANDON MCINTYRE
Title or Position: PRESIDENT
Credential:
Phone: 504-206-1183