Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Family Id Services Inc

Organization In Home Supportive Care Agency · NPI 1134825151

Ellis Family Id Services Inc is an In Home Supportive Care Agency in Maryville, Tennessee. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3925 Poplar Grove Rd
Maryville, TN 37804-4701
Phone: (865) 724-7208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3925 Poplar Grove Rd, Maryville, TN 37804-4701 — (865) 724-7208

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1134825151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Ellis — Owner/Treasure · (865) 724-6748
NPI enumeratedFebruary 1, 2023
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address3925 Poplar Grove Rd, Maryville, TN 37804-4701

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