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ELLENDEL ISL
NPI 1235252826
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kirksville, MO

Active since April 09, 2007
1108 E PATTERSON, SUITE 9, KIRKSVILLE, MO 63501(660) 627-4101(660) 665-0185 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Ellendel Isl NPPES

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

ELLENDEL ISL (NPI 1235252826) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kirksville, Missouri and active in the NPI registry since April 2007. The organization lists Rhoda Ellen Tomich, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1235252826
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameELLENDEL ISL LLC
Location Address1108 E PATTERSON, SUITE 9Kirksville, MO 63501
Mailing Address701 S JamisonKirksville, MO 63501 · (660) 627-4101 · Fax (660) 665-0185
Phone(660) 627-4101
Fax(660) 665-0185
Organization SubpartNo
Authorized OfficialRhoda Ellen TomichOwner/manager · (660) 627-4101
Enumeration DateApril 9, 2007
Last NPPES UpdateNovember 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
✔ NPI 1235252826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1108 E PATTERSON, Kirksville, MO 63501
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Other Names 1

Doing Business AsEllendel Isl

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 Ellendel Isl LLC's NPI number?

The NPI number for Ellendel Isl LLC is 1235252826. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Ellendel Isl.

Where is Ellendel Isl LLC located?

Ellendel Isl LLC is located at 1108 E Patterson Suite 9, Kirksville, MO 63501. The listed phone number is (660) 627-4101.

What is Ellendel Isl LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ellendel Isl LLC was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.