Provider Demographics
NPI:1760120992
Name:EVERYDAYS GOURMET LLC
Entity Type:Organization
Organization Name:EVERYDAYS GOURMET LLC
Other - Org Name:THE GOOD HEALTH NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNBLET SHIFRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-853-0051
Mailing Address - Street 1:463 RIDGECORDE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7609
Mailing Address - Country:US
Mailing Address - Phone:314-853-0051
Mailing Address - Fax:
Practice Address - Street 1:463 RIDGECORDE PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7609
Practice Address - Country:US
Practice Address - Phone:314-853-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No335G00000XSuppliersMedical Foods SupplierGroup - Multi-Specialty