Provider Demographics
NPI:1548724446
Name:ELEGANT HOSPICE CARE LLC
Entity type:Organization
Organization Name:ELEGANT HOSPICE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI KANTH REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:YALAMURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-680-1229
Mailing Address - Street 1:5718 UNIVERSITY HTS STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1131
Mailing Address - Country:US
Mailing Address - Phone:210-817-4746
Mailing Address - Fax:210-817-4750
Practice Address - Street 1:5718 UNIVERSITY HTS STE 203
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1131
Practice Address - Country:US
Practice Address - Phone:210-817-4746
Practice Address - Fax:210-817-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based