Elegant Profile Llc
Durable Medical Equipment & Medical Supplies
4622 Country Club Rd Ste 100, Winston Salem
North Carolina, 27104-3770
336-331-3480 336-793-1218
Elegant Profile Llc is an authorized DME supplier for medicare equipment and products.Elegant Profile Llc is a Durable Medical Equipment & Medical Supplies in Winston Salem, North Carolina. It is located at 4622 Country Club Rd Ste 100, Winston Salem and it's customer support contact number is 336-331-3480. The authorized person of Elegant Profile Llc is Justine Juchter who is Vice President of this DME and his contact number is 336-331-3480. Elegant Profile Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Elegant Profile Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Elegant Profile Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Elegant Profile Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4622 Country Club Rd Ste 100, Winston Salem, North Carolina, 27104-3770 |
| Phone: | 336-331-3480 |
| Fax: | 336-793-1218 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Justine Juchter |
| Position: | Vice President |
| Contact Number: | 336-331-3480 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1194586115 |
| NPI Enumeration Date: | 17 Jan, 2024 |
| NPI Last Update On: | 21 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elegant Profile Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Mastectomy Fitter | | | Secondary | |
Medicare Enrollment:
Elegant Profile Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6800323353 | O20241220003067 | Elegant Profile Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH PROSTHETIC PERSONNEL |
Products Available:
Elegant Profile Llc has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4622 Country Club Rd Ste 100, Winston Salem, North Carolina |
| Zip: | 27104-3770 |
| Phone Number: | 336-331-3480 |
| Fax Number: | 336-793-1218 |
Patients can reach Elegant Profile Llc at
4622 Country Club Rd Ste 100, Winston Salem, North Carolina or can
call on customer care at 336-331-3480.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.