ANDREA ELLIS
NPI 1376216861
Technician - Attendant Care Provider in Jackson, MS

Q: What is Andrea Ellis's NPI number?

The NPI number for Andrea Ellis is 1376216861. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Q: What is Andrea Ellis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Ellis was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 29, 2021

4144 DEL ROSA DR, JACKSON, MS 39206(601) 572-5631 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrea Ellis NPPES

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

ANDREA ELLIS (NPI 1376216861) is an individual attendant care provider provider in Jackson, Mississippi and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1376216861

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameANDREA ELLIS

Location Address4144 DEL ROSA DRJackson, MS 39206-4732

Mailing Address4144 Del Rosa DrJackson, MS 39206-4732 · (601) 572-5631

Phone(601) 572-5631

Sole ProprietorYes

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1376216861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

4144 DEL ROSA DR, Jackson, MS 39206

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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 Andrea Ellis's NPI number?

The NPI number for Andrea Ellis is 1376216861. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Andrea Ellis located?

Andrea Ellis practices at 4144 Del Rosa Dr, Jackson, MS 39206. The listed phone number is (601) 572-5631.

What is Andrea Ellis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Andrea Ellis was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.