Active NPI
Neil Mohan Lall, HCAC
- Home Health Aide
- Edmonds, WA
National Provider Identifier
1598256182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 753425
- Practice address
- 23406 97TH PL W
Edmonds, WA 98020-5621 - Phone
- (206) 533-9846
- NPI assigned
- May 20, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 753425 | Primary |
Addresses
Primary practice location
23406 97TH PL W
Edmonds, WA 98020-5621
Mailing address
23406 97TH PL W
Edmonds, WA 98020-5621
Phone (206) 533-9846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753425 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526774400000",
"number": "1598256182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23406 97TH PL W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205621",
"telephone_number": "206-533-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23406 97TH PL W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205621",
"telephone_number": "206-533-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALL",
"first_name": "NEIL",
"middle_name": "MOHAN",
"credential": "HCAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-20",
"last_updated": "2018-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": "753425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "753425",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.