National Provider Identifier Database

KATHLEEN M ELLIS, LPTA – NPI #1346685575
Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.


Contact Information

KATHLEEN M ELLIS, LPTA
512 BEACH ST
FENTON, MI48430-3122
Phone: 810-629-4117
Fax:
Website:
Specialty Taxonomy Code
* Nursing Facility/Intermediate Care Facility 313M00000X

* Indicates primary specialty

NPI Profile & details for KATHLEEN M ELLIS

NPI Number 1346685575
Credentials LPTA
Entity Individual
Enumeration date 05/01/2013
Last updated 05/01/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5502001225
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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