AMANDA ELLIS – NPI #1194198697
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

AMANDA ELLIS is a residential treatment facility (RTF) located in SAN TAN VALLEY, AZ. NPPES has assigned the NPI number 1194198697 to AMANDA ELLIS on November 05, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA ELLIS below.

NPI Profile for
AMANDA ELLIS

NPI Number
1194198697
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA ELLIS
Primary location
381 EAST BROOK STREET
SAN TAN VALLEY, AZ 85140
Phone: (480) 495-2839 Fax:
Mailing address
381 E BROOK ST
SAN TAN VALLEY, AZ 85140
Phone: (480) 495-2839 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
AZ D05686544

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.