Elegant Profile LLC
NPI 1194586115 · Durable Medical Equipment & Medical Supplies · Winston Salem, NC
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elegant Profile LLC is a Durable Medical Equipment & Medical Supplies organization in Winston Salem, NC (NPI 1194586115).
Provider details
- NPI number
- 1194586115
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Justine Juchter, Vice President(336) 331-3480
Specialties & taxonomies
Suppliers
- Mastectomy Fitter224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Frequently asked questions
- What is Elegant Profile LLC's NPI number?
- Elegant Profile LLC's National Provider Identifier (NPI) is 1194586115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elegant Profile LLC?
- Elegant Profile LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Elegant Profile LLC located?
- Elegant Profile LLC's practice location on file with NPPES is 4622 Country Club Rd Ste 100, Winston Salem, NC 27104-3770.
- What is Elegant Profile LLC's phone number?
- The practice phone number listed in the NPPES registry for Elegant Profile LLC is (336) 331-3480.
- Does Elegant Profile LLC accept Medicare?
- Elegant Profile LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elegant Profile LLC?
- The authorized official listed on Elegant Profile LLC's NPPES record is Justine Juchter, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elegant Profile LLC's NPI active?
- Yes — Elegant Profile LLC's NPI (1194586115) is active in the NPPES registry as of the last update on 2025-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.