Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUANTEZ RENITA ELLIS
NPI 1841106309
Custodial Care Facility - Adult Care Home in Starke, FL

Q: What is Juantez Ellis's NPI number?

The NPI number for Juantez Ellis is 1841106309. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Q: What is Juantez Ellis's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Juantez Ellis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 24, 2026

1901 RAIFORD RD, STARKE, FL 32091(267) 918-7619 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Juantez Renita Ellis NPPES

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

JUANTEZ RENITA ELLIS (NPI 1841106309) is an individual adult care home provider in Starke, Florida and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1841106309

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameJUANTEZ RENITA ELLIS

Location Address1901 RAIFORD RDStarke, FL 32091-1435

Mailing Address1901 Raiford RdStarke, FL 32091-1435 · (267) 918-7619

Phone(267) 918-7619

Sole ProprietorYes

Enumeration DateAugust 24, 2026

NPPES CertifiedAugust 23, 2026

✔ NPI 1841106309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1901 RAIFORD RD, Starke, FL 32091

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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 Juantez Ellis's NPI number?

The NPI number for Juantez Ellis is 1841106309. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Juantez Ellis located?

Juantez Ellis practices at 1901 Raiford Rd, Starke, FL 32091. The listed phone number is (267) 918-7619.

What is Juantez Ellis's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Juantez Ellis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.