Active NPI
Laura Hellen Neely
- In Home Supportive Care Agency
- Eureka, CA
National Provider Identifier
1164275384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 124700001
- Practice address
- 350 E St Ste 403
Eureka, CA 95501-0352 - Phone
- (707) 496-8499
- Fax
- (707) 497-6777
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 124700001 | CA | Primary |
Addresses
Primary practice location
350 E St Ste 403
Eureka, CA 95501-0352
Mailing address
PO Box 6888
Eureka, CA 95502-6888
Phone (707) 496-8499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124700001 | CA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1164275384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6888",
"city": "EUREKA",
"state": "CA",
"postal_code": "955026888",
"telephone_number": "707-496-8499",
"fax_number": "707-497-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E ST STE 403",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010352",
"telephone_number": "707-496-8499",
"fax_number": "707-497-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "LAURA",
"middle_name": "HELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "124700001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.