Ellis House, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELLIS HOUSE, LLC

Practice address

16601 Cavalry Dr
Rockville, MD 20853-1219

Phone

(240) 997-0272

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Guy Poole

Title

Owner and Operator

Phone

(240) 205-0447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1417754425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 CAVALRY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531219",
            "telephone_number": "240-997-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 CAVALRY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531219",
            "telephone_number": "240-997-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "240-205-0447"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Elliott, RN
• Jason Elliott
• Mary Elliott
• Rodricka Elliott
• Samantha Elliott
• Cheryl Ellis-Bey
• Faith Ellis-Smith
• Adrienne Ellis
• Alexandra Ellis, FNP
• Alexandria Ellis

• In Home Supportive Care Agency in Rockville, MD
• Providers in Rockville, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.