Healthcare Provider Details

I. General information

NPI: 1235716077
Provider Name (Legal Business Name): PRIVATA CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24012 CALLE DE LA PLATA STE 400
LAGUNA HILLS CA
92653-7623
US

IV. Provider business mailing address

24012 CALLE DE LA PLATA STE 400
LAGUNA HILLS CA
92653-7623
US

V. Phone/Fax

Practice location:
  • Phone: 833-247-9111
  • Fax: 215-215-0213
Mailing address:
  • Phone: 833-247-9111
  • Fax: 215-215-0213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TAREK ELNABLI
Title or Position: OWNER/CEO
Credential:
Phone: 833-247-9111