Michellis LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

13-013218-1 Issued in IN

Legal business name

MICHELLIS LLC

Practice address

4910 Temple Ave
Evansville, IN 47715-2144

Phone

(812) 401-9540

NPI assigned

Jul 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michell R Ellis

Title

President/Owner

Phone

(812) 401-9540

Specialties & licenses 1

Addresses

Other names 1

• Homewatch CareGivers of Evansville Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1124468442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 TEMPLE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152144",
            "telephone_number": "812-401-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 TEMPLE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152144",
            "telephone_number": "812-401-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "812-401-9540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IN",
            "license": "13-013218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Evansville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark E Meyers, MD
• Michael J Silverman DDS MSD PC
• Michael R Harrison MD Facc PC
• James Michaud, DO
• Andrea Jean Michel, PHARMD
• Paul B Mick, MD
• Sarah Mickus
• Mid America Clinical Laboratories, LLC
• Midwest Behavioral Health LLC
• Midwest Ear Nose and Throat Surgery, PSC

• All providers in Evansville, IN
• Child Intellectual and/or Developmental Disabilities Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.