AMANDA ELLIS NPI 1194198697

NPI Information

NPI: 1194198697
Provider Name: AMANDA ELLIS
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
381 EAST BROOK STREET
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 495-2839
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Amanda Ellis is a residential treatment facility physical disabilities in San Tan Valley, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. Amanda Ellis NPI is 1194198697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

381 EAST BROOK STREET
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 495-2839

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		D05686544	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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