Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY EDWARD ELLIS
NPI 1790506327
Case Manager/Care Coordinator in Hoxie, AR

Active since October 17, 2024
1600 SW BROAD ST, HOXIE, AR 72433(870) 558-9234 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Edward Ellis NPPES

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

JEREMY EDWARD ELLIS (NPI 1790506327) is an individual case manager/care coordinator provider in Hoxie, Arkansas and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1790506327
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJEREMY EDWARD ELLIS
Location Address1600 SW BROAD STHoxie, AR 72433-2419
Mailing Address5625 Wildflower CtJonesboro, AR 72404-8882 · (870) 558-9234
Sole ProprietorYes
Enumeration DateOctober 17, 2024
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1790506327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1600 SW BROAD ST, Hoxie, AR 72433

Other Providers at the Same Location NPPES 13

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

Counselor
1600 SW BROAD ST
HOXIE, AR 72433
Behavior Technician
1600 SW BROAD ST
HOXIE, AR 72433
Social Worker (Clinical)
1600 SW BROAD ST
HOXIE, AR 72433
Counselor
1600 SW BROAD ST
HOXIE, AR 72433
Counselor
1600 SW BROAD ST
HOXIE, AR 72433
Counselor
1600 SW BROAD ST
HOXIE, AR 72433
Counselor
1600 SW BROAD ST
HOXIE, AR 72433
Physical Therapy Assistant
1600 SW BROAD ST
HOXIE, AR 72433

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 Jeremy Ellis's NPI number?

The NPI number for Jeremy Ellis is 1790506327. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Jeremy Ellis located?

Jeremy Ellis practices at 1600 SW Broad St, Hoxie, AR 72433. The listed phone number is (870) 558-9234.

What is Jeremy Ellis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Ellis was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.