Provider Demographics
NPI:1336992106
Name:ELEGANT CARE INDEPENDENT LIVING
Entity Type:Organization
Organization Name:ELEGANT CARE INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PARAMJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-361-8833
Mailing Address - Street 1:10350 S MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:FRENCH CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95231-9778
Mailing Address - Country:US
Mailing Address - Phone:209-361-8833
Mailing Address - Fax:
Practice Address - Street 1:10350 S MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9778
Practice Address - Country:US
Practice Address - Phone:209-361-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care