Healthy Soul Kitchen LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

HEALTHY SOUL KITCHEN LLC

Practice address

13275 Rue Maison Blvd
Gonzales, LA 70737-6562

Phone

(225) 408-9415

NPI assigned

Aug 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberly Kelson Alexis

Title

Owner

Phone

(225) 408-9415

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1689341844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13275 RUE MAISON BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376562",
            "telephone_number": "225-408-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13275 RUE MAISON BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376562",
            "telephone_number": "225-408-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SOUL KITCHEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-408-9415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Dwayn Hatch, FNP
• Kwame Kenyatta Haven, PHARM.D
• Tiara Monique Hayes-Babin
• Keegan Hayes
• Healing Hands Staffing
• Heat to Heart Hospice of Louisiana LLC
• Irelyn Claire Heathcock
• Shanna Hebb
• Lorie P Hebert, CCC-SLP
• Heiress Beauty Lounge, LLC

• Meals Provider in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Meals Provider in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.