MIKEL BROOKE ELLIS
NPI 1124755749
Technician - Attendant Care Provider in Las Vegas, NV

Q: What is Mikel Ellis's NPI number?

The NPI number for Mikel Ellis is 1124755749. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Q: What is Mikel Ellis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Mikel Ellis was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 03, 2022

2001 S JONES BLVD STE E3, LAS VEGAS, NV 89146(702) 425-3377(702) 997-7552 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mikel Brooke Ellis NPPES

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

MIKEL BROOKE ELLIS (NPI 1124755749) is an individual attendant care provider provider in Las Vegas, Nevada and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1124755749

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMIKEL BROOKE ELLIS

Location Address2001 S JONES BLVD STE E3Las Vegas, NV 89146-3165

Mailing Address4855 Pagosa Springs Dr # SrLas Vegas, NV 89139-5773 · (702) 375-2525 · Fax (702) 997-7552

Phone(702) 425-3377

Fax(702) 997-7552

Sole ProprietorNo

Enumeration DateAugust 3, 2022

NPPES CertifiedAugust 3, 2022

✔ NPI 1124755749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

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.

Also ListedChore ProviderTaxonomy 372500000X

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

Also ListedHomemakerTaxonomy 376J00000X

2001 S JONES BLVD STE E3, Las Vegas, NV 89146

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED FADHIL ALALI

Technician (Attendant Care Provider)