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

Aquanita Sheretta Ellis

Individual provider In Home Supportive Care Agency · NPI 1104661107

Aquanita Sheretta Ellis is an In Home Supportive Care Agency in Phenix City, Alabama. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

808 20th St
Phenix City, AL 36867-4525
Phone: (706) 302-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1414 2nd St S, Phenix City, AL 36869-7318 — (706) 984-4571

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Attendant Care Provider Taxonomy 3747A0650X

Record details

NPI number1104661107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

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