Individual provider · Type 1 NPI
Jimmy Lee Ellis
Adult Companion · Avondale, AZ
Practice location
105 N Links Dr Apt 1061
Avondale, AZ 85323-3046
Mailing address
3420 E Shea Blvd Ste 204
Phoenix, AZ 85028-3345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | None listed |
| Homemaker | 376J00000X | None listed |
| Adult Companion Primary | 372600000X | None listed |
Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Another provider at this address
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About NPI 1376013326
Jimmy Lee Ellis's National Provider Identifier is 1376013326, issued on Dec 3, 2018. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Avondale, AZ. The record was last updated on Jan 5, 2019.