Provider Demographics
NPI:1629845441
Name:J ELEGANZ HOME CARE
Entity Type:Organization
Organization Name:J ELEGANZ HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SABERON ILICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-553-5112
Mailing Address - Street 1:1095 N MAIN ST STE F
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5459
Mailing Address - Country:US
Mailing Address - Phone:714-553-5112
Mailing Address - Fax:714-333-4568
Practice Address - Street 1:1095 N MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5459
Practice Address - Country:US
Practice Address - Phone:714-553-5112
Practice Address - Fax:714-333-4568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care