Active NPI
Neighborhood Home Care, LLC
- Home Health Agency
- Lynn, MA
National Provider Identifier
1083941611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jun 9, 2009 in MA
- Enrollment address
- 270 Union St
Ste 313
Lynn, MA 01901-1348
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Neighborhood Home Care LLC
- Ownership
- Proprietary
- Certified
- Mar 4, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1100664 | Neighborhood Home Care LLC | Certificate of waiver | Jun 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mariel Garcia | Corporate Officer | Mar 28, 2018 | 50% |
| W-2 Managing Employee | Mar 28, 2018 | 50% | |
| Operational/Managerial Control | Mar 28, 2018 | 50% | |
| Felicia Rena Moore | 5% Or Greater Direct Ownership Interest | Jun 9, 2009 | 100% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.