Provider Demographics
NPI:1407677982
Name:NEELEX HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:NEELEX HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER AND CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-751-2921
Mailing Address - Street 1:62 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3153
Mailing Address - Country:US
Mailing Address - Phone:978-751-2921
Mailing Address - Fax:
Practice Address - Street 1:62 WARNER AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3153
Practice Address - Country:US
Practice Address - Phone:978-751-2921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care