Ellis Preparatory Academy Inc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ELLIS PREPARATORY ACADEMY INC

Practice address

200 Booth Rd Ste C
Ormond Beach, FL 32174-5716

Phone

(386) 872-5017

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Ellis

Title

Owner

Phone

(386) 760-2340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1164832838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOOTH RD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745716",
            "telephone_number": "386-872-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOOTH RD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745716",
            "telephone_number": "386-872-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PREPARATORY ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-760-2340"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Local Education Agency (LEA) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.