OrganizationActive
Ellis Medical Center, LLC
NPI 1740424969 · Occupational Medicine Clinic/Center · Bloomfield, CT
Provider details
- NPI number
- 1740424969
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lenworth Ellis, Managing Member(860) 243-1864
- License
- 041803 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Cottage Grove Rd
Bloomfield, CT 06002-3080
Phone: (860) 243-1864
Street-level locationGet directions
Mailing address
701 Cottage Grove Rd
Bloomfield, CT 06002-3080
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2009-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.