Individual ProviderElleana DeschampsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address119 Tompkins Ave, Staten Island, NY 10304-2601(917) 485-7824PECOS EnrollmentBased on the most recent information from CMS, provider Elleana Deschamps does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1720550742Provider TypeIndividualFull NameDeschamps, ElleanaTitleMs.GenderFemaleSole ProprietorNoEnumeration Date1/2/2019Last Updated1/2/2019Contact InformationPractice LocationPractice Address119 Tompkins Ave, Staten Island, NY 10304-2601Phone(917) 485-7824FaxUnlisted FaxMailing LocationMailing Address119 Tompkins Ave, Staten Island, NY 10304-2601Phone(917) 485-7824FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer