Provider Demographics
NPI:1285794206
Name:NEILI HOME HEALTH CARE AGENCY, INC.
Entity type:Organization
Organization Name:NEILI HOME HEALTH CARE AGENCY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NERY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEULENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-621-7946
Mailing Address - Street 1:10621 N KENDALL DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1549
Mailing Address - Country:US
Mailing Address - Phone:786-621-7946
Mailing Address - Fax:786-235-7498
Practice Address - Street 1:10621 N KENDALL DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1549
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:2006-12-11
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651600900Medicaid
FL109015Medicare PIN