Provider Demographics
NPI:1760675557
Name:ELEGANT CARE
Entity Type:Organization
Organization Name:ELEGANT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VONYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-960-4992
Mailing Address - Street 1:1 E 34TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1271
Mailing Address - Country:US
Mailing Address - Phone:816-960-4992
Mailing Address - Fax:816-960-3821
Practice Address - Street 1:1 E 34TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1271
Practice Address - Country:US
Practice Address - Phone:816-960-4992
Practice Address - Fax:816-960-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health