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ELEGANT PROFILE LLC
NPI 1194586115
Durable Medical Equipment & Medical Supplies in Winston Salem, NC

Active since January 17, 2024
4622 COUNTRY CLUB RD STE 100, WINSTON SALEM, NC 27104(336) 331-3480(336) 793-1218 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Jun 18, 2024 (2 updates tracked since 2024).

About Elegant Profile Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEGANT PROFILE LLC (NPI 1194586115) is a healthcare organization registered as a durable medical equipment & medical supplies in Winston Salem, North Carolina and active in the NPI registry since January 2024. The organization lists Justine Juchter, Vice President, as its authorized official.

NPPES Registry Identity

NPI1194586115
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameELEGANT PROFILE LLC
Location Address4622 COUNTRY CLUB RD STE 100Winston Salem, NC 27104-3770
Mailing Address4622 Country Club Rd Ste 100Winston Salem, NC 27104-3770 · (336) 331-3480 · Fax (336) 793-1218
Phone(336) 331-3480
Fax(336) 793-1218
Organization SubpartNo
Authorized OfficialJustine JuchterVice President · (336) 331-3480
Enumeration DateJanuary 17, 2024
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1194586115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
Also ListedMastectomy FitterTaxonomy 224900000X
4622 COUNTRY CLUB RD STE 100, Winston Salem, NC 27104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Elegant Profile carries, from the Medicare DMEPOS supplier directory.

Elegant Profile

DMEPOS supplier · Winston Salem, NCOperated by Katherine R Stanley
✔

Accepts Medicare assignment

Elegant Profile agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20540873
Medicare Participant SinceApril 8, 2010
Supplier Location2830 Maplewood Ave Ste AWinston Salem, NC 27103
Phone(336) 331-3480
Supplier Specialties
MSC With Orthotic-Prosthetic Prosthetic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE JUCHTER
Mastectomy Fitter
4622 COUNTRY CLUB RD STE 100
WINSTON SALEM, NC 27104
Forsyth County (336) 331-3480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elegant Profile LLC's NPI number?

The NPI number for Elegant Profile LLC is 1194586115. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Elegant Profile LLC located?

Elegant Profile LLC is located at 4622 Country Club Rd Ste 100, Winston Salem, NC 27104. The listed phone number is (336) 331-3480.

What is Elegant Profile LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Elegant Profile LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Elegant Profile accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Elegant Profile LLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Elegant Profile LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elegant Profile LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.