Provider Demographics
NPI:1326447368
Name:ELLA'S PLACE ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:ELLA'S PLACE ASSISTED LIVING, INC.
Other - Org Name:ELLA'S PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-496-0546
Mailing Address - Street 1:313 DOLPHIN WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4874
Mailing Address - Country:US
Mailing Address - Phone:863-496-0546
Mailing Address - Fax:863-496-2677
Practice Address - Street 1:313 DOLPHIN WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4874
Practice Address - Country:US
Practice Address - Phone:863-496-0546
Practice Address - Fax:863-496-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12187310400000X, 311500000X, 311Z00000X, 320900000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities