Individual provider · Type 1 NPI

Melissa Ellis

Attendant Care Provider · Mullens, WV

NPI number 1104791508 Active

Practice location

695 Mountaineer Hwy
Mullens, WV 25882-0255

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

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.

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About NPI 1104791508

Melissa Ellis's National Provider Identifier is 1104791508, issued on Oct 7, 2025. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Mullens, WV. The record was last updated on Oct 7, 2025.