Malik Lamont Neely

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4051 Cedar LN Ste C
Portsmouth, VA 23703-2003

Phone

(757) 335-4987

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• T. Lee'S Homecare Solutions LLC

  • Home Health Agency
  • Portsmouth, VA
  • NPI 1619620788
  NPD Authorized official
• T. Lees Therapeutic Solutions LLC

  • Adult Mental Health Clinic/Center
  • Portsmouth, VA
  • NPI 1003563453
  NPD Authorized official

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1477229243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 STAMFORD RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033732",
            "telephone_number": "757-232-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 CEDAR LN STE C",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032003",
            "telephone_number": "757-335-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MALIK",
        "middle_name": "LAMONT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naval Medical Center Portsmouth
• Erlina Parco Naval, ARNP, WHNP-BC
• Angela Sims Navarre, M.D.
• Navy Medical Center Portsmouth
• Ivan Che Ndamukong, PHD, PA-C
• Cory Allan Negri, DPM
• Elsio Rafael Negron-Rubio, M.D.
• Jonathan Blaze Negron, DMD
• Kinfe T Negru, PHARMACIST
• Kristyn K Neidermeyer, LCSW

• Home Health Aide in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.