# ELLIS SENIOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255951927
- **Authorized official:** MR. DALE RAY ELLIS (PRESIDENT/ OWNER)
- **Authorized official phone:** (540) 293-8024

## Contact information

- **Practice address:** 105 N BLAIR ST, VINTON, VA 24179-4501
- **Practice address phone:** (540) 293-7299
- **Mailing address:** PO BOX 13704, ROANOKE, VA 24036-3704
- **Mailing address phone:** (540) 293-7299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 07/28/2026