MR. TERRELL TYRAY ELLIS
NPI 1790455152
In Home Supportive Care in Southfield, MI

Active since September 16, 2021
21408 INKSTER RD, SOUTHFIELD, MI 48033(947) 224-0379(947) 941-2603 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Terrell Tyray Ellis NPPES

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

MR. TERRELL TYRAY ELLIS (NPI 1790455152) is an individual in home supportive care provider in Southfield, Michigan and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1790455152
Entity TypeIndividualMale
Primary Taxonomy253Z00000X
Provider Legal NameMR. TERRELL TYRAY ELLIS
Location Address21408 INKSTER RDSouthfield, MI 48033-5026
Mailing Address21408 Inkster RdSouthfield, MI 48033-5026 · (949) 472-2403 · Fax (947) 941-2603
Fax(947) 941-2603
Sole ProprietorYes
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
NPI 1790455152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
21408 INKSTER RD, Southfield, MI 48033

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 Terrell Ellis's NPI number?

The NPI number for Terrell Ellis is 1790455152. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Terrell Ellis located?

Terrell Ellis practices at 21408 Inkster Rd, Southfield, MI 48033. The listed phone number is (947) 224-0379.

What is Terrell Ellis's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Terrell Ellis was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.