Provider Demographics
NPI:1831406149
Name:NEILI HOME HEALTH CARE AGENCY
Entity type:Organization
Organization Name:NEILI HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NERY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEULENS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:786-621-7946
Mailing Address - Street 1:10651 N. KENDALL DR
Mailing Address - Street 2:SUITE 219
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1545
Mailing Address - Country:US
Mailing Address - Phone:786-621-7946
Mailing Address - Fax:786-235-7498
Practice Address - Street 1:10651 N. KENDALL DR
Practice Address - Street 2:SUITE 219
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1545
Practice Address - Country:US
Practice Address - Phone:786-621-7946
Practice Address - Fax:786-235-7498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992705251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health