Individual Healthcare Provider
Aquanita Sheretta Ellis
Provider's NPPES record last updated: July 11, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104661107
- Primary Specialty
- Home Health Aide
- Practice Location
- Phenix City, Alabama
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:21 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Home Health Aide
Nursing Service Related Providers
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Taxonomy code 374U00000X In Home Supportive Care
Agencies
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Taxonomy code 253Z00000XTechnician
Attendant Care Provider
Nursing Service Related Providers
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Taxonomy code 3747A0650X
Practice Locations
Practice Location
808 20th St
Phenix City, Alabama 36867-4525
Phone: (706) 302-9291
Additional Practice Location
1414 2nd St S
Phenix City, Alabama 36869-7318
Phone: (706) 984-4571
Record Information
- Enumeration Date
- July 1, 2024
- Provider's NPPES Record Last Updated
- July 11, 2024
- Certification Date
- July 11, 2024
- NPISignal NPPES Dataset
- August 2026
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