Healthcare Provider Details

I. General information

NPI: 1013377811
Provider Name (Legal Business Name): NEIGHBORLY CARE NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11095 131ST ST
LARGO FL
33774-4727
US

IV. Provider business mailing address

5225 TECH DATA DR STE 102
CLEARWATER FL
33760-3133
US

V. Phone/Fax

Practice location:
  • Phone: 727-593-1253
  • Fax: 727-593-5873
Mailing address:
  • Phone: 727-573-9444
  • Fax: 727-205-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number8944
License Number StateFL

VIII. Authorized Official

Name: MR. DAVID LOMAKA
Title or Position: CEO
Credential:
Phone: 727-573-9444