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AQUANITA SHERETTA ELLIS
NPI 1104661107
Home Health Aide in Phenix City, AL

Active since July 01, 2024
808 20TH ST, PHENIX CITY, AL 36867(706) 302-9291 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jul 1, 2024 (2 updates tracked since 2024).

About Aquanita Sheretta Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQUANITA SHERETTA ELLIS (NPI 1104661107) is an individual home health aide in Phenix City, Alabama and active in the NPI registry since July 2024. She maintains a secondary practice location in Phenix City.

NPPES Registry Identity

NPI1104661107
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameAQUANITA SHERETTA ELLIS
Location Address808 20TH STPhenix City, AL 36867-4525
Mailing Address1007 Samford Ct Apt BOpelika, AL 36801-9782 · (706) 302-9291
Phone(706) 302-9291
Sole ProprietorYes
Enumeration DateJuly 1, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1104661107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
808 20TH ST, Phenix City, AL 36867
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Secondary Practice Location 1

Location 11414 2nd St SPhenix City, AL 36869-7318 · Phone (706) 984-4571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aquanita Ellis's NPI number?

The NPI number for Aquanita Ellis is 1104661107. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Aquanita Ellis located?

Aquanita Ellis practices at 808 20th St, Phenix City, AL 36867. The listed phone number is (706) 302-9291.

What is Aquanita Ellis's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Aquanita Ellis was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.