NPIMap

Organization Active NPI

Neighborhood Health Care Incorporated

Doing business as Neighborhood Family Practice

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1477823565
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
Doing business as
Neighborhood Family Practice
Practice address
6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone
(216) 961-2090
Fax
(216) 281-9565
NPI assigned
Jan 5, 2012
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

6412 Franklin Blvd
Cleveland, OH 44102-3153

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
O20120724000720 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 1477823565. Details of each certification follow.

Federally qualified health center certification: CCN 361987

Legal name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Doing business as
NEIGHBORHOOD FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 24, 2012
Last certification
Jul 24, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1979 in OH
Enrollment address
6412 Franklin Blvd
Cleveland, OH 44102-3153

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 Care Incorporated20 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 21

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

NameRoleSinceShare
Yasmin Xiao Individual Corporate Director Mar 1, 2023
Natalie Adsuar Individual Corporate Director Oct 1, 2021
Fred Degrandis Individual Corporate Director Oct 1, 2018
Frances Mills Individual Corporate Director Mar 1, 2023
John Griffiths Individual Corporate Director Oct 1, 2018
Luis Cartagena Individual Corporate Director Mar 1, 2023
Domonic Hopson Individual Corporate OfficerCeo May 31, 2022
W-2 Managing EmployeeAd; May 22, 2022
Mariely Luengo Individual Corporate Director Mar 1, 2024
William Fisher Individual Corporate Director Mar 1, 2024
Mark McDermott Individual Corporate Director Oct 1, 2017
Lisa Nelson Individual Corporate Director Oct 1, 2016
Barbara Langhenry Individual Corporate Director Mar 1, 2023
Steve Ansberry Individual Corporate Director Oct 1, 2018
Morgan Taggert Individual Corporate Director Oct 1, 2019
Scott Skinner Individual Corporate Director Mar 1, 2023
Timothy James McKnight Individual Corporate Director Oct 1, 2021
Sonya Caswell Individual Corporate Director Oct 1, 2017
Ricardo Leon Individual Corporate Director Oct 1, 2021
Melanie E Golembiewski Individual Corporate OfficerCmo Dec 1, 2022
Allen Schramm Individual Corporate Director Jul 1, 2024
Chris Warren Individual Corporate Director 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": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1477823565",
    "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": "6412 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023153",
            "telephone_number": "216-961-2090",
            "fax_number": "216-281-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "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.