Ellie House Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ELLIE HOUSE INC

Practice address

106 E Market St Ste 301
Warren, OH 44481-1151

Phone

(330) 539-9700

Fax

(330) 539-9708

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Osa Johnson

Title

Accountant

Phone

(330) 539-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1811588346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MARKET ST STE 301",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811151",
            "telephone_number": "330-539-9700",
            "fax_number": "330-539-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MARKET ST STE 301",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811151",
            "telephone_number": "330-539-9700",
            "fax_number": "330-539-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "OSA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "330-539-9700"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005950",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@blbusiness.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 E Market St Ste 301",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444811151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle M Ehrhart, LSW
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• Najah Elam
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• Kathryn S Elliott I, RN,BSN
• Amanda Lynn Ellis, FNP-C
• Sierra Ellis, CT
• Summer Angel Ellis
• Felicia Elanie Ellison

• Developmentally Disabled Services Day Training Agency in Warren, OH
• Providers in Warren, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.