Elegant Legacy Home Care and Rehab LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELEGANT LEGACY HOME CARE AND REHAB LLC

Practice address

12180 Ragweed St
San Diego, CA 92129-4104

Phone

(858) 880-8934

NPI assigned

Mar 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Lontayo, OTNPI 1972012268

Title

Owner/Ceo

Phone

(858) 880-8934

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynne Lontayo

  • Occupational Therapist
  • La Jolla, CA
  • NPI 1972012268
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1750915591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 RAGWEED ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294104",
            "telephone_number": "858-880-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 RAGWEED ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294104",
            "telephone_number": "858-880-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT LEGACY HOME CARE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "LONTAYO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "858-880-8934",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leslie A Eldridge, FNP
• Nancy Jean Eldridge
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• In Home Supportive Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.