Healthcare Provider Details

I. General information

NPI: 1417865676
Provider Name (Legal Business Name): ELLORIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 COMMONS WAY # 311
SOMERSET NJ
08873-4693
US

IV. Provider business mailing address

384 AMWELL RD UNIT 413
HILLSBOROUGH NJ
08844-1279
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-4513
  • Fax: 973-393-4513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FEYISAYO ADEOLA PHILLIPS
Title or Position: OWNER
Credential: RN
Phone: 973-393-4513