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MRS. KATHLEEN MARIE ELLIS LPTA
NPI 1346685575
Nursing Facility/Intermediate Care Facility in Fenton, MI

Active since May 01, 2013
512 BEACH ST, FENTON, MI 48430(810) 629-4117 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen Marie Ellis Lpta NPPES

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

MRS. KATHLEEN MARIE ELLIS LPTA (NPI 1346685575) is an individual nursing facility/intermediate care facility provider in Fenton, Michigan, licensed in Michigan (5502001225) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1346685575
Entity TypeIndividualFemale
Primary Taxonomy313M00000X
Provider Legal NameMRS. KATHLEEN MARIE ELLISCredential: LPTA
Location Address512 BEACH STFenton, MI 48430-3122
Mailing Address11182 E Richfield RdDavison, MI 48423-8517 · (810) 252-9888
Phone(810) 629-4117
Sole ProprietorYes
Enumeration DateMay 1, 2013
✔ NPI 1346685575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in MI · 5502001225
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
512 BEACH ST, Fenton, MI 48430
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Other Providers at the Same Location NPPES 12

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

FENTON HEALTHCARE LLC
Skilled Nursing Facility
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
MS. ANNA LEIGH KOONTZ OTRL
Occupational Therapist
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
MS. CYNTHIA COLEMAN
Physical Therapy Assistant
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
CATHY BLONDIN
Physical Therapy Assistant
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
MRS. REBECCA ANNE STIFF LPTA
Physical Therapy Assistant
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
MS. DEBRA ANN BEEVER-GORSKI COTA
Occupational Therapy Assistant
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 714-2237
MRS. MINDY MARIE HAMP OTR/L
Occupational Therapist
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117
AILEEN FULLEN
Speech-Language Pathologist
512 BEACH ST
FENTON, MI 48430
Genesee County (810) 629-4117

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 Kathleen Ellis's NPI number?

The NPI number for Kathleen Ellis is 1346685575. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Kathleen Ellis located?

Kathleen Ellis practices at 512 Beach St, Fenton, MI 48430. The listed phone number is (810) 629-4117.

What is Kathleen Ellis's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Ellis was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.