Provider Demographics
NPI:1447781208
Name:NEOLY HOME CARE LLC
Entity Type:Organization
Organization Name:NEOLY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARAYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:POKHREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-282-0866
Mailing Address - Street 1:N 455 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137
Mailing Address - Country:US
Mailing Address - Phone:314-282-0866
Mailing Address - Fax:314-224-5723
Practice Address - Street 1:N 455 MAIN STREET
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137
Practice Address - Country:US
Practice Address - Phone:314-282-0866
Practice Address - Fax:314-224-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care