Elliom, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELLIOM, LLC

Doing business as

Elliom, LLC

Practice address

987 Preserve Park Dr
Loganville, GA 30052-8317

Phone

(319) 671-4013

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Colette Ndigyenouba, MPH

Title

Director

Phone

(319) 671-4013

Specialties & licenses 1

Addresses

Other names 1

• Elliom, LLC Doing business as

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1598597940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 PRESERVE PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 PRESERVE PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528317",
            "telephone_number": "319-671-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NDIGYENOUBA",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-671-4013",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliom, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anna D Eller, LMT
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• Michele Elliott, LPN
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• Embellished Beauty Brands LLC
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• Home Health Agency in Loganville, GA
• Providers in Loganville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.