Provider Demographics
NPI:1134564487
Name:ELEGANT CARE CORP
Entity type:Organization
Organization Name:ELEGANT CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LOUIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-704-9028
Mailing Address - Street 1:3537 TORRANCE BLVD
Mailing Address - Street 2:STE 25
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4818
Mailing Address - Country:US
Mailing Address - Phone:310-328-1152
Mailing Address - Fax:
Practice Address - Street 1:3537 TORRANCE BLVD
Practice Address - Street 2:STE 25
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4818
Practice Address - Country:US
Practice Address - Phone:310-328-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care