Scott Neeb

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

930 4TH Ave
Lake Odessa, MI 48849-1003

Phone

(616) 841-9037

Fax

(888) 507-5736

NPI assigned

Sep 28, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luminate Home Care, LLC

  • In Home Supportive Care Agency
  • Lake Odessa, MI
  • NPI 1063243749
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1114698222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491003",
            "telephone_number": "616-841-9037",
            "fax_number": "888-507-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491003",
            "telephone_number": "616-841-9037",
            "fax_number": "888-507-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEB",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald T Licari, DDS
• Lo Optical, LLC
• Luminate Home Care, LLC
• Moran Diagnostic Services, LLC
• Lisa Neeb, LPN
• Gabriel Neil, PA-C
• Janice Truc Nguyen, PHARMD
• Pennock Hospital
• Pennock Hospital
• Pennock Hospital Board of Trustees

• All providers in Lake Odessa, MI
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.