NPIMap

Organization Active NPI

Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1306268677
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Practice address
14625 Puritas Ave
Cleveland, OH 44135-2815
Phone
(216) 281-0872
Fax
(216) 281-9721
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Domonic M Hopson
Title
Ceo
Phone
(216) 302-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

14625 Puritas Ave
Cleveland, OH 44135-2815

Mailing address

PO Box 72674
Cleveland, OH 44192-0002
Phone (216) 281-0872

Other names 1

  • Neighborhood Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402001930 OH Part A Provider - Federally Qualified Health Center (FQHC) 2668466012 Practice locations: Cleveland, OH

Federally qualified health center certification: CCN 361043

Legal name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Doing business as
NEIGHBORHOOD FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 9, 2014
Last certification
Apr 9, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1979 in OH
Enrollment address
14625 Puritas Ave
Cleveland, OH 44135-2815

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Health Car20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Victor Cruz Individual Corporate DirectorBoard Member Jan 1, 2021
Paul Smith Individual Corporate DirectorBoard Member Jan 1, 2012
Monica Olivera Individual Corporate DirectorBoard Member Jan 29, 2019
Natalie Adsuar Individual Corporate DirectorBoard Member Jan 1, 2021
Christina Woskobojnik Individual Corporate DirectorBoard Member Aug 1, 2009
Fred Degrandis Individual Corporate DirectorBoard Member Jan 1, 2019
James Massey Individual Corporate OfficerChief Financial Officer Aug 23, 2010
W-2 Managing EmployeeChief Financial Officer Aug 23, 2010
Thomas Gill Individual Corporate DirectorBoard Member Jan 1, 2012
John Griffiths Individual Corporate DirectorVice Chair Jan 1, 2019
Domonic Hopson Individual Corporate OfficerCeo Jul 31, 2022
Matthew Albers Individual Corporate DirectorBoard Member Oct 1, 2009
Deirdre Thomas Individual Corporate DirectorBoard Member Jul 1, 2002
Mark McDermott Individual Corporate DirectorBoard Member Jul 1, 2017
Samuel Huston Individual Corporate DirectorBoard Member Jan 14, 2013
Lisa Nelson Individual Corporate DirectorBoard Member Mar 1, 2016
Donna Nolen Brooks Individual Corporate DirectorBoard Member Oct 1, 2010
Laura P Rusick Individual Corporate DirectorBoard Member Jan 1, 2012
Alan Mancuso Individual Corporate DirectorBoard Member Jan 1, 2012
Jonathan Sieck Individual Corporate DirectorSecretary Nov 24, 2019
Tyler Allchin Individual Corporate DirectorBoard Member Feb 1, 2016
Anita Cook Individual Corporate DirectorBoard Member Jan 14, 2013
Steve Ansberry Individual Corporate DirectorBoard Treasurer Sep 1, 2018
Christine Porter Individual Corporate OfficerChief Financial Officer May 16, 2015
Morgan Taggert Individual Corporate DirectorBoard Chair Sep 1, 2019
Ala N Qahwash Individual Corporate DirectorBoard Member Aug 1, 2021
Elizabeth Newman Individual Corporate DirectorBoard Member Feb 25, 2013
Sonya Caswell Individual Corporate DirectorBoard Member Jul 1, 2017
Jonathon Wise Individual Corporate DirectorBoard Member Jan 27, 2014
Matthew Garvey Individual Corporate DirectorBoard Member Feb 1, 2009
Jean Solomon Individual Corporate DirectorBoard Member Nov 1, 2012
Dennis Duck Individual Corporate DirectorBoard Member Jan 1, 2012
Erick R Kauffman Individual Corporate OfficerChief Medical Officer Jul 1, 2014
W-2 Managing EmployeeChief Medical Officer Jul 1, 2014
Daphney McCaleb Individual Corporate DirectorBoard Member Jul 1, 2021
Chris Warren Individual Corporate DirectorBoard Member Oct 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1306268677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72674",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 PURITAS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441352815",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "DOMONIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-302-5252"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.