Ellis Home Care Agency, Corp

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

ELLIS HOME CARE AGENCY, CORP

Practice address

1001 N Federal Hwy Ste 200
Hallandale Beach, FL 33009-2416

Phone

(954) 886-2911

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Bethany Ellis, APRNNPI 1194349308

Title

Owner

Phone

(954) 886-2911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Laquell Ellis, FNP

  • Family Nurse Practitioner
  • Hallandale Beach, FL
  • NPI 1194349308
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1780414896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY STE 200",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092416",
            "telephone_number": "954-886-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY STE 200",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092416",
            "telephone_number": "954-886-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOME CARE AGENCY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-886-2911",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleve Mobility Solutions LLC
• Elite Health and Wellness Clinic
• Aaron Elkin, M.D.
• Ahmed Elkoussa
• Elliott B Weinger MD PA
• Bethany Laquell Ellis, FNP
• Laurie Ellis, P.A.-C.
• Emilio Castaneda MD PLLC
• Emk Psychological Services LLC
• En Love,LLC

• Community Health Nurse Practitioner in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Community Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.