ELLIS TIMOTHY CHARLES
NPI 1871029314
Day Training, Developmentally Disabled Services in Sheridan, WY
- Individual
- Male
- Day Training, Developmentally Disabled S...
About ELLIS CHARLES
This page provides the complete NPI Profile along with additional information for Ellis Charles, a provider established in Sheridan, Wyoming with a medical specialization in Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1871029314 assigned on May 2017. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1871029314 Verify this NPI
- Provider Name
- ELLIS TIMOTHY CHARLES
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 511 GLADSTONE ST 511 GLADSTONE STREET SHERIDAN, WY 82801
- Location Phone
- (307) 752-9082
- Mailing Address
- 511 GLADSTONE ST SHERIDAN, WY 82801
- Mailing Phone
- (307) 752-9082
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-03-2017
- Last Update Date
- 05-03-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Day Training, Developmentally Disabled Services
- Taxonomy Code
- 251C00000X
- Type
- Agencies
- License State
- WY
- Taxonomy Description
- These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871029314, enumerated as an "individual" on May 03, 2017.
The provider is located at 511 GLADSTONE ST 511 GLADSTONE STREET SHERIDAN, WY 82801 and the phone number is (307) 752-9082.
Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.
