NPIMap

Organization Active NPI

Neighborly Care Network

  • Adult Day Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1629195284
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
NA Issued in FL
Legal business name
NEIGHBORLY CARE NETWORK
Practice address
12425 28TH St N
Suite 200
St Petersburg, FL 33716-1844
Phone
(727) 573-9444
Fax
(727) 572-8214
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
David Lomaka
Title
Ceo
Phone
(727) 573-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NA FL Primary

Addresses

Primary practice location

12425 28TH St N
Suite 200
St Petersburg, FL 33716-1844

Mailing address

13945 Evergreen Ave Ste 200
Clearwater, FL 33762-4525
Phone (727) 573-9444

Other identifiers 1

IdentifierTypeStateIssuer
690596000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Neighborly Care Network7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

12425 28th St N
Ste 200
St Petersburg, FL 33716
Phone (727) 573-9444

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1629195284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 EVERGREEN AVE STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624525",
            "telephone_number": "727-573-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 28TH ST N",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161844",
            "telephone_number": "727-573-9444",
            "fax_number": "727-572-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORLY CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "LOMAKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-573-9444"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690596000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.