OrganizationActive
Black Tie Soul, LLC
NPI 1801732797 · Home Delivered Meals · Warrenville, SC
Black Tie Soul, LLC is a Home Delivered Meals organization in Warrenville, SC (NPI 1801732797).
Provider details
- NPI number
- 1801732797
- Entity type
- Organization
- Primary specialty
- Home Delivered MealsSuppliers
- Organization subpart
- No
- Authorized official
- Shequita Gordon, Owner(706) 461-7895
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3017 Norham Gardens Ln
Warrenville, SC 29851-3353
Phone: (706) 461-7895
Street-level locationGet directions
Mailing address
3017 Norham Gardens Ln
Warrenville, SC 29851-3353
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Black Tie Soul, LLC's NPI number?
- Black Tie Soul, LLC's National Provider Identifier (NPI) is 1801732797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Tie Soul, LLC?
- Black Tie Soul, LLC is classified in the NPPES registry as Home Delivered Meals (Suppliers).
- Where is Black Tie Soul, LLC located?
- Black Tie Soul, LLC's practice location on file with NPPES is 3017 Norham Gardens Ln, Warrenville, SC 29851-3353.
- What is Black Tie Soul, LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Tie Soul, LLC is (706) 461-7895.
- Who is the authorized official for Black Tie Soul, LLC?
- The authorized official listed on Black Tie Soul, LLC's NPPES record is Shequita Gordon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Tie Soul, LLC's NPI active?
- Yes — Black Tie Soul, LLC's NPI (1801732797) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.