Provider Demographics
NPI:1235716077
Name:PRIVATA CARE, INC.
Entity Type:Organization
Organization Name:PRIVATA CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ELNABLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-247-9111
Mailing Address - Street 1:24012 CALLE DE LA PLATA STE 400
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7623
Mailing Address - Country:US
Mailing Address - Phone:833-247-9111
Mailing Address - Fax:215-215-0213
Practice Address - Street 1:24012 CALLE DE LA PLATA STE 400
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7623
Practice Address - Country:US
Practice Address - Phone:833-247-9111
Practice Address - Fax:215-215-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health