ELEGANT LEGACY HOME CARE AND REHAB LLC (NPI# 1750915591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750915591 |
Entity Type | Organization |
Organization Name | ELEGANT LEGACY HOME CARE AND REHAB LLC |
Practice Address |
12180 Ragweed St San Diego CA 92129-4104 |
Practice Telephone | 8588808934 |
Mailing Telephone | 8588808934 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Authorized Official Name | JESSICA LONTAYO (OWNER/CEO) |
Authorized Official Telephone | 8588808934 |
Authorized Official Credential | OT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
12180 RAGWEED ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92129-4104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053836718 | Emily Anne Haven | Physical Therapist | 9351 Vervain Street, San Diego, CA 92129 | 2017-08-03 |
1366802944 | Katie Nguyen | Pharmacist | 13014 Lemon Pine Ct, San Diego, CA 92129 | 2016-02-25 |
1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
1184034746 | Jim S Chang | Dentist | 12798 Rancho Penasquitos Blvd # 1, San Diego, CA 92129 | 2014-05-05 |
1841627593 | John Richard Codington | Dentist | 9728 Carmel Mountain Ro., Suite B, San Diego, CA 92129 | 2013-09-26 |
1407298284 | Michael Saade | Dentist | 9310 Carmel Mountain Rd Ste A, San Diego, CA 92129 | 2013-07-22 |
1801141338 | Satnick Chiropractic | Acupuncturist | 12880 Rancho Penasquitos Blvd, Steb, San Diego, CA 92129 | 2012-07-20 |
1558627463 | Louise Jeremia Gatchalian Angelo | Student in an Organized Health Care Education/Training Program | 9434 Twin Trails Dr, Unit 201, San Diego, CA 92129 | 2012-04-04 |
1093965477 | Joanne C Vargas-velasco | Dentist | 12580 Ragweed Street, San Diego, CA 92129 | 2008-09-23 |
1699960377 | Robert B Case | Social Worker | 12602 Spindletop Rd, San Diego, CA 92129 | 2007-09-06 |
Find all providers in zip 92129 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
1598377871 | 360 Caregivers Home Agency LLC | In Home Supportive Care | 15870 Camino San Bernardo Apt 133, San Diego, CA 92127-2367 | 2020-08-19 |
1679184014 | Cdm Living Life, Inc. | In Home Supportive Care | 3665 Ruffin Rd Ste 100, San Diego, CA 92123-1871 | 2020-08-10 |
1013525955 | Compassionate In-home Care LLC | In Home Supportive Care | 4124 Via Candidiz Unit 142, San Diego, CA 92130-3159 | 2020-07-16 |
1073136487 | Jmjnt Corporation | In Home Supportive Care | 16766 Bernardo Center Dr Ste 200, San Diego, CA 92128-2502 | 2020-05-20 |
1891325221 | Kevory Enterprises, Inc | In Home Supportive Care | 11722 Sorrento Valley Rd Ste G, San Diego, CA 92121-1021 | 2020-01-24 |
1295384279 | Brighter Life | In Home Supportive Care | 3125 Pasternack Pl, San Diego, CA 92123-3058 | 2019-09-11 |
1093368532 | Hisc 158 Inc | In Home Supportive Care | 8775 Aero Dr Ste 235, San Diego, CA 92123-1756 | 2019-07-23 |
1538712401 | First Meridian Care Services, Inc. | In Home Supportive Care | 4545 Murphy Canyon Rd Ste 204, San Diego, CA 92123-4363 | 2019-07-19 |
1255998225 | One Twenty-seven Inc | In Home Supportive Care | 3665 Ruffin Rd Ste 202, San Diego, CA 92123-1882 | 2019-05-24 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.