Ellishiona Jamison, COTA
Individual provider Active NPI In Home Supportive Care Agency · McCordsville, IN
NPI 1902230634 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1902230634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 250194851 (IN)
- Practice address
- 6602 W Jefferson CT
McCordsville, IN 46055-9684 - Phone
- (317) 515-8653
- NPI assigned
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32002443A | IN | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 250194851 | IN | Yes |
Addresses
Primary practice location
6602 W Jefferson CT
McCordsville, IN 46055-9684
Mailing address
6602 W Jefferson CT
McCordsville, IN 46055-9684
Phone (317) 515-8653
Other providers in McCordsville, IN
- House of Eli LLC
- Tochukwu C Iloabuchi
- Imagine Minds Center for Autism LLC
- Inspirational Home Care LLC
- Integrity Family Chiropractic
- Kandace Johnson
- Kelly Lynn Jones
- Joyful Life LLC
- Camille Kern
- Yhaneke Kilpatrick
All providers in McCordsville, IN · In Home Supportive Care Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.