MR. DARRELL LEMONT ELLIS JR. ADMINISTRATOR
NPI 1174925424
Residential Treatment Facility, Emotionally Disturbed Children in Maricopa, AZ

Active since September 18, 2014
43646 W YUCCA LN, MARICOPA, AZ 85138(520) 483-4219 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Darrell Lemont Ellis Jr. Administrator NPPES

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

MR. DARRELL LEMONT ELLIS JR. ADMINISTRATOR (NPI 1174925424) is an individual residential treatment facility, emotionally disturbed children provider in Maricopa, Arizona, licensed in Arizona (BHRF20103) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1174925424
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameMR. DARRELL LEMONT ELLIS JR.Credential: ADMINISTRATOR
Location Address43646 W YUCCA LNMaricopa, AZ 85138-2011
Mailing Address43646 W Yucca LnMaricopa, AZ 85138-2011 · (520) 483-4219
Sole ProprietorYes
Enumeration DateSeptember 18, 2014
Last NPPES UpdateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
NPI 1174925424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in AZ · BHRF20103
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

43646 W YUCCA LN, Maricopa, AZ 85138

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
43646 W YUCCA LN
MARICOPA, AZ 85138

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 Darrell Ellis's NPI number?

The NPI number for Darrell Ellis is 1174925424. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Darrell Ellis located?

Darrell Ellis practices at 43646 W Yucca Ln, Maricopa, AZ 85138. The listed phone number is (520) 483-4219.

What is Darrell Ellis's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Darrell Ellis was last updated on December 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.