S. Ellis Adult Daycare Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

S. ELLIS ADULT DAYCARE SERVICES, LLC

Practice address

1229 Salem Gate Drive
Conyers, GA 30013-1362

Phone

(770) 679-4503

Fax

(888) 273-6606

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Selina Y Ellis

Title

Owner/Director

Phone

(770) 679-4503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1811369192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 SALEM GATE DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131362",
            "telephone_number": "770-679-4503",
            "fax_number": "888-273-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SALEM GATE DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131362",
            "telephone_number": "770-679-4503",
            "fax_number": "888-273-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ELLIS ADULT DAYCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SELINA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "770-679-4503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.