MEDICARE: NEIGHBORHOOD HEALTH CARE INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1326690934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD HEALTH CARE INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 72674
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44192-0002
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9721

Provider Business Practice Location Address
First Line	:	3466 SAINT ROCCOS CT STE 2
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1543
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DOMONIC M HOPSON
Credential	:
Telephone Number	:	216-281-0872

Provider Enumeration Date	:	07/13/2019
Last Update Date	:	02/23/2026

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