Organization
ELLEN LISTING
Active
Organization
ELLEN LISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LISTING (RN)
(815) 601-4055
Entity
Organization
Contact information
Practice address
14094 KENNEDY DR, SOUTH BELOIT, IL 61080-2502
(815) 601-4055
Mailing address
14094 KENNEDY DR, SOUTH BELOIT, IL 61080-2502
(815) 601-4055
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
108005-030
WI
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up