| Organization Name: | NELLIS ADULT DAYCARE LLC |
| NPI Number: | 1164720371 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE CAROL ELLIS (EXECTUTIVE DIRECTOR) |
| Mailing Address: | 1902 Virginia Ave Connersville |
| State: | IN US |
| Postal Code: | 473312834 |
| Phone Number: | 7656920260 |
| Fax Number: | 7656920261 |
| NPI Enumeration Date: | 03/11/2011 |
| NPI Last Update Date: | 03/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | 201008180A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |