Ekklesia Commercial Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EKKLESIA COMMERCIAL SERVICES, LLC

Doing business as

Ekklesia Commercial Services, LLC

Practice address

119 S Palmetto Ave Ste 210
Daytona Beach, FL 32114-4327

Phone

(386) 400-5665

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By 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

Greg Romeo

Title

Administrator

Phone

(386) 527-9074

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ekklesia Commercial Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1265065304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BEVILLE RD STE 606-154",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145646",
            "telephone_number": "386-527-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S PALMETTO AVE STE 210",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144327",
            "telephone_number": "386-400-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKKLESIA COMMERCIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ROMEO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-527-9074"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104882300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ekklesia Commercial Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Robert Eisenhut, MD
• Natalie K Eisenhut, NP
• Susann Marie Eisner
• Ukonu Ejie, MD
• Jason Jonathan Eker, ARNP
• Aisha M El-Agori
• Tamer M. El-Helw, M.D.
• Saud El-Sayed Suleiman, MD
• Ziyad Elassal
• Dina Alaa Elbanna, DO

• In Home Supportive Care Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.