Healthcare Provider Details

I. General information

NPI: 1467736694
Provider Name (Legal Business Name): NEIGHBORHOOD ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 GRISWOLD RD
ELYRIA OH
44035-2304
US

IV. Provider business mailing address

265 WASHINGTON AVE
ELYRIA OH
44035-5122
US

V. Phone/Fax

Practice location:
  • Phone: 440-233-8768
  • Fax: 440-324-7895
Mailing address:
  • Phone: 440-233-8768
  • Fax: 440-277-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: ALICIA FOSS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 440-233-8768