Individual provider · Type 1 NPI

Mikel Brooke Ellis

Attendant Care Provider · Las Vegas, NV

NPI number 1124755749 Active

Practice location

2001 S Jones Blvd Ste E3
Las Vegas, NV 89146-3165

Fax (702) 997-7552

Mailing address

4855 Pagosa Springs Dr # Sr
Las Vegas, NV 89139-5773

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Adult Companion 372600000XNone listed
Personal Care Attendant 3747P1801XNone listed
Homemaker 376J00000XNone listed
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 1124755749

Mikel Brooke Ellis's National Provider Identifier is 1124755749, issued on Aug 3, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 3, 2022.