Individual provider · Type 1 NPI

Terrell Tyray Ellis

In Home Supportive Care Agency · Southfield, MI

NPI number 1790455152 Active

Practice location

21408 Inkster Rd
Southfield, MI 48033-5026

Call (947) 224-0379 Map

Fax (947) 941-2603

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000XNone listed
In Home Supportive Care Agency Primary 253Z00000XNone listed
Homemaker 376J00000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1790455152

Terrell Tyray Ellis's National Provider Identifier is 1790455152, issued on Sep 16, 2021. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Southfield, MI. The record was last updated on Sep 16, 2021.