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Mr. Jimmy Lee Ellis
Adult Companion in Avondale, Arizona
NPI 1376013326

Jimmy Lee Ellis is an Adult Companion based in Phoenix, AZ. Jimmy Lee Ellis practices in Avondale, AZ. The NPI Number for Jimmy Lee Ellis is 1376013326 and holds a License No. (Arizona).

The current practice location address for Jimmy Lee Ellis is 105 N Links Dr Apt 1061, Avondale, AZ and can be reached out via phone at 480-487-8480.

Location: 105 N Links Dr Apt 1061, Avondale, AZ, 85028-3345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376013326
Provider Name
Jimmy Lee Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 N Links Dr Apt 1061, Avondale, AZ, 85028-3345
Phone Number
480-487-8480
Fax Number
Provider Enumeration Date
12/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 N Links Dr Apt 1061
City
Avondale
State
Arizona
Zip
85323-3046
Phone Number
480-487-8480
Fax Number
person
Provider Business Mailing Address Details
Address
105 N Links Dr Apt 1061
City
Avondale
State
Arizona
Zip
85323-3046
Phone Number
480-487-8480
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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