Provider Demographics
NPI:1699481606
Name:NEELYS, YOLANDA RENEE
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:RENEE
Last Name:NEELYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 KATY FWY STE 910
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2119
Mailing Address - Country:US
Mailing Address - Phone:346-422-9217
Mailing Address - Fax:855-426-3916
Practice Address - Street 1:11111 KATY FWY STE 910
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2119
Practice Address - Country:US
Practice Address - Phone:346-422-9217
Practice Address - Fax:855-426-3916
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No372500000XNursing Service Related ProvidersChore Provider
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide