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AMANDA ELLIS
NPI 1194198697
Residential Treatment Facility, Physical Disabilities in San Tan Valley, AZ

Active since November 05, 2015
381 EAST BROOK STREET, SAN TAN VALLEY, AZ 85140(480) 495-2839 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Ellis NPPES

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

AMANDA ELLIS (NPI 1194198697) is an individual residential treatment facility, physical disabilities provider in San Tan Valley, Arizona, licensed in Arizona (D05686544) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1194198697
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameAMANDA ELLIS
Location Address381 EAST BROOK STREETSan Tan Valley, AZ 85140
Mailing Address381 E Brook StSan Tan Valley, AZ 85140 · (480) 495-2839
Phone(480) 495-2839
Sole ProprietorYes
Enumeration DateNovember 5, 2015
✔ NPI 1194198697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in AZ · D05686544
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
381 EAST BROOK STREET, San Tan Valley, AZ 85140
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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 Amanda Ellis's NPI number?

The NPI number for Amanda Ellis is 1194198697. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Amanda Ellis located?

Amanda Ellis practices at 381 East Brook Street, San Tan Valley, AZ 85140. The listed phone number is (480) 495-2839.

What is Amanda Ellis's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Amanda Ellis was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.