Selina Y Ellis

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

2055 Gees Mill Rd NE
Suite 327
Conyers, GA 30013-1362

Phone

(770) 679-5714

Fax

(888) 273-6606

NPI assigned

Jan 16, 2011

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S. Ellis Home Care Services, LLC

  • Home Health Agency
  • Dothan, AL
  • NPI 1750964383
  NPD Authorized official
• S. Ellis Homecare Services, LLC

  • Home Health Agency
  • Orlando, FL
  • NPI 1164132064
  NPD Authorized official
• Divine Case Management Services, LLC

  • Case Management Agency
  • Conyers, GA
  • NPI 1992234082
  NPD (past) Authorized official
• S. Ellis Healthcare Services, LLC

  • Home Health Agency
  • Conyers, GA
  • NPI 1023397205
  NPD (past) Authorized official

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1326343765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81314",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300139314",
            "telephone_number": "770-679-5714",
            "fax_number": "888-273-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 GEES MILL RD NE",
            "address_2": "SUITE 327",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131362",
            "telephone_number": "770-679-5714",
            "fax_number": "888-273-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SELINA",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-16",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Surgical Assisting LLC
• Bernard Peter Elkon, LPC
• Elks Aidmore, Inc. (Elks Aidmore Children's Center)
• Ellen Paige Montgomery, LLC
• Caroline Ellis
• Sherenda Lashawn Ellis
• Howard Steven Ellison, MD
• Margaret Gibson Ellison, EDS, LPC, MAC, CAS
• Avery Louise Elloway, PA-C
• Michelle Emerson

• Nurse's Aide in Conyers, GA
• Providers in Conyers, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.