DEMETRIC GAZZARA ELLIS
NPI 1154953008
In Home Supportive Care in Jacksonville, FL

Q: What is Demetric Ellis's NPI number?

The NPI number for Demetric Ellis is 1154953008. It was assigned to this individual provider in the NPPES registry on February 9, 2020.

Q: What is Demetric Ellis's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Demetric Ellis was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 09, 2020

1600 LANSDOWNE DR APT 215, JACKSONVILLE, FL 32211(904) 444-0180 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Demetric Gazzara Ellis NPPES

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

DEMETRIC GAZZARA ELLIS (NPI 1154953008) is an individual in home supportive care provider in Jacksonville, Florida, licensed in Florida (30402) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1154953008

Entity TypeIndividualMale

Primary Taxonomy253Z00000X

Provider Legal NameDEMETRIC GAZZARA ELLIS

Location Address1600 LANSDOWNE DR APT 215Jacksonville, FL 32211-5151

Mailing Address1600 Lansdowne Dr Apt 215Jacksonville, FL 32211-5151 · (904) 444-0180

Phone(904) 444-0180

Sole ProprietorYes

Enumeration DateFebruary 9, 2020

✔ NPI 1154953008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in FL · 30402

Definition

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 medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1600 LANSDOWNE DR APT 215, Jacksonville, FL 32211

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Other Identifiers 1

MedicaidE420167672670FL

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 Demetric Ellis's NPI number?

The NPI number for Demetric Ellis is 1154953008. It was assigned to this individual provider in the NPPES registry on February 9, 2020.

Where is Demetric Ellis located?

Demetric Ellis practices at 1600 Lansdowne Dr Apt 215, Jacksonville, FL 32211. The listed phone number is (904) 444-0180.

What is Demetric Ellis's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Demetric Ellis was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.