=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255255766
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELLAS HOME CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2026
-----------------------------------------------------
Last Update Date | 08/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 126 E US HIGHWAY 30
-----------------------------------------------------
City | SCHERERVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46375-2117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-515-2667
-----------------------------------------------------
Fax | 877-600-9733
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 126 E US HIGHWAY 30
-----------------------------------------------------
City | SCHERERVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46375-2117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-515-2667
-----------------------------------------------------
Fax | 877-600-9733
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AGENCY MANAGER/OWNER
-----------------------------------------------------
Name | MRS. BRITTNEY BENNETT
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 210-781-2596
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------