National Provider Identifier Database

ANDREA ELLIS
Attendant Care Provider

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.


Contact Information

ANDREA ELLIS
4144 DEL ROSA DR
JACKSON, MS39206-4732
Phone: 601-572-5631
Fax:
Website:
Specialty Taxonomy Code
* Attendant Care Provider 3747A0650X

* Indicates primary specialty

NPI Profile & details for ANDREA ELLIS

NPI Number 1376216861
Credentials
Entity Individual
Enumeration date 07/29/2021
Last updated 07/29/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers n/a
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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