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

Timothy J Ellis Sr.

Individual provider Case Manager/Care Coordinator · NPI 1093388464

Timothy J Ellis Sr. is a Case Manager/Care Coordinator in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

1946 N 13th St Ste 450
Toledo, OH 43604-7257
Phone: (419) 720-6811
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1093388464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address1946 N 13th St Ste 450, Toledo, OH 43604-7257

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