Ellis Home Health Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206008402 Issued in VA

Legal business name

ELLIS HOME HEALTH SUPPLIES, INC.

Practice address

211 W Main St
Abingdon, VA 24210-2715

Phone

(276) 628-2901

Fax

(276) 628-4526

NPI assigned

Jul 19, 2005

Last updated

Aug 13, 2007By 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

Mr. H. Douglas Ellis

Title

President

Phone

(276) 628-8181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1649279845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102715",
            "telephone_number": "276-628-8181",
            "fax_number": "276-628-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102715",
            "telephone_number": "276-628-2901",
            "fax_number": "276-628-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOME HEALTH SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-628-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206008402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Eisendrath, DO, MS
• Adel Mohamad El Abbassi, MD
• Wael Khaled El Minaoui, M.
• Asmahan Omar Elayan, BS
• Jessica Elliott, DO
• Ellis Home Oxygen & Medical Equipment
• Elmwood Counseling Services
• Koen W. Elswick, OD
• Trevor Chase Elswick, DO
• Roger E Emory, M.D.

• Durable Medical Equipment & Medical Supplies in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.