Individual provider · Type 1 NPI

Raven Ellis

Home Health Agency · Redford, MI

NPI number 1194653303 Active

Practice location

19177 Negaunee
Redford, MI 48240-1637

Call (734) 312-8968 Map

Mailing address

40315 Michigan Ave
Canton, MI 48188-2908

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	900079658 (MI)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1194653303

Raven Ellis's National Provider Identifier is 1194653303, issued on May 11, 2026. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Redford, MI. The record was last updated on May 11, 2026.