Healthcare Provider Details

I. General information

NPI: 1427927425
Provider Name (Legal Business Name): THE CULINARY CONCIERGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2471 S 10TH ST
MILWAUKEE WI
53215-3248
US

IV. Provider business mailing address

2471 S 10TH ST
MILWAUKEE WI
53215-3248
US

V. Phone/Fax

Practice location:
  • Phone: 414-788-2530
  • Fax:
Mailing address:
  • Phone: 414-788-2530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHETEAKA NOBLIN
Title or Position: OWNER
Credential:
Phone: 414-788-2530