Provider Demographics
NPI:1427399708
Name:ELEGANT, LLC.
Entity Type:Organization
Organization Name:ELEGANT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAPIENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:860-413-9509
Mailing Address - Street 1:41 SCHOOLHOUSE LNDG
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-2601
Mailing Address - Country:US
Mailing Address - Phone:860-413-9509
Mailing Address - Fax:860-413-9509
Practice Address - Street 1:448 SPRING ST
Practice Address - Street 2:
Practice Address - City:WINDSOR LOCKS
Practice Address - State:CT
Practice Address - Zip Code:06096-1743
Practice Address - Country:US
Practice Address - Phone:860-413-9509
Practice Address - Fax:860-413-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities