Organization Active NPI

Neighborhood Home Care, LLC

  • Home Health Agency
  • Lynn, MA
National Provider Identifier
1083941611
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEIGHBORHOOD HOME CARE, LLC
Practice address
145 Munroe Street
Suite, 407
Lynn, MA 01902
Phone
(781) 592-0511
Fax
(781) 592-1427
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Ms. Felicia Rena Moore, REGISTERED NURSE
Title
Administrator/Owner
Phone
(781) 718-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

145 Munroe Street
Suite, 407
Lynn, MA 01902

Mailing address

145 Munroe Street
Suite, 407
Lynn, MA 01902
Phone (781) 592-0511

Other names 1

  • Felicia Rena Moore Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091224000087 MA Part A Provider - Home Health Agency 2365582277 Practice locations: Lynn, MA

Home health agency certification: CCN 227517

Legal name
NEIGHBORHOOD HOME CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2010
Last certification
Mar 4, 2010
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 9, 2009 in MA
Enrollment address
270 Union St
Ste 313
Lynn, MA 01901-1348
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Neighborhood Home Care LLCCCN 227517
Ownership
Proprietary
Certified
Mar 4, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1100664Neighborhood Home Care LLC270 Union St, Lynn, MA 01901Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

270 Union St
Ste 313
Lynn, MA 01901
Phone (781) 592-0511

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mariel Garcia Individual Corporate OfficerHealth Administrator Mar 28, 2018 50%
W-2 Managing EmployeeHealth Administrator Mar 28, 2018 50%
Operational/Managerial ControlHealth Administrator Mar 28, 2018 50%
Felicia Rena Moore Individual 5% Or Greater Direct Ownership InterestOfficer Manager Jun 9, 2009 100%
W-2 Managing EmployeeOffice Manager Jul 17, 2009 50%

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1083941611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MUNROE STREET",
            "address_2": "SUITE, 407",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-592-0511",
            "fax_number": "781-592-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MUNROE STREET",
            "address_2": "SUITE, 407",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-592-0511",
            "fax_number": "781-592-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "781-718-0830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Felicia Rena Moore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.