NPIMap

Organization Active NPI

Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1316148745
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
2358 Professor Ave
Cleveland, OH 44113-4630
Phone
(216) 334-2800
NPI assigned
May 31, 2007
Last updated
Sep 24, 2025By the provider in NPPES
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

2358 Professor Ave
Cleveland, OH 44113-4630

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2529124MedicaidOH

Other names 1

  • Neighborhood Family Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000563 OH Part A Provider - Federally Qualified Health Center (FQHC) 2668466012 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316148745. Details of each certification follow.

Federally qualified health center certification: CCN 361946

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 4, 2009
Last certification
Apr 4, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1979 in OH
Enrollment address
2358 Professor Ave
Cleveland, OH 44113-4630

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 24

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

NameRoleSinceShare
Richaun Bunton Individual Corporate Director Jan 1, 2025
Cynthia Dailey Individual Corporate Director Sep 1, 2025
Yasmin Xiao Individual Corporate Director Mar 1, 2023
Natalie Adsuar Individual Corporate Director Sep 1, 2021
Fred Degrandis Individual Corporate Director Sep 1, 2018
Frances Mills Individual Corporate Director Mar 1, 2023
John Griffiths Individual Corporate Director Sep 1, 2018
George Voss Individual Corporate OfficerChief Financial Officer Oct 1, 2024
W-2 Managing Employee Oct 1, 2024
Domonic Hopson Individual Corporate OfficerChief Executive Officer May 31, 2022
Corporate Director May 31, 2022
W-2 Managing Employee May 31, 2022
Mariely Luengo Individual Corporate Director Sep 1, 2024
William Fisher Individual Corporate Director Sep 1, 2024
Mark McDermott Individual Corporate DirectorBoard Member Jul 1, 2017
Daniel Kenneth Allan Individual Corporate Officer Sep 1, 2025
Barbara Langhenry Individual Corporate Director Mar 1, 2023
Kurt Kappa Individual Corporate Director Jan 1, 2025
Morgan Taggert Individual Corporate Director Sep 1, 2019
Scott Skinner Individual Corporate Director Mar 1, 2023
Timothy James McKnight Individual Corporate Director Sep 1, 2021
Sonya Caswell Individual Corporate DirectorBoard Member Jul 1, 2017
Ricardo Leon Individual Corporate Director Sep 30, 2021
Melanie E Golembiewski Individual Corporate OfficerChief Medical Officer Jan 1, 2022
Jonathon Wise Individual Corporate DirectorBoard Member Jan 27, 2014
Emma Kundracik Individual Corporate Director Sep 1, 2025
Allen Schramm Individual Corporate Director Sep 1, 2024

Owners & managing parties with NPI records 3

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1316148745",
    "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": "2358 PROFESSOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134630",
            "telephone_number": "216-334-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2529124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.