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

Mr. Grant Willam Ellis

Individual provider Case Manager/Care Coordinator · NPI 1740062819

Mr. Grant Willam Ellis is a Case Manager/Care Coordinator in Pedro, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

115 Private Road 977
Pedro, OH 45659-8608
Phone: (740) 534-1386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1740062819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address115 Private Road 977, Pedro, OH 45659-8608

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