NPIMap

Organization Active NPI

Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lakewood, OH
National Provider Identifier
1831666965
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
11906 Madison Ave
Lakewood, OH 44107-5027
Phone
(216) 281-0872
NPI assigned
Oct 26, 2018
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

11906 Madison Ave
Lakewood, OH 44107-5027

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
O20181228001734 OH Part A Provider - Federally Qualified Health Center (FQHC) 2668466012 Practice locations: Lakewood, OH

Federally qualified health center certification: CCN 361198

Legal name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Doing business as
NEIGHBORHOOD FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 2019
Last certification
Jan 1, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1979 in OH
Enrollment address
16110 Detroit Ave
Lakewood, OH 44107-3715

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 20

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, 2021
Lisa Nelson Individual Corporate Director Oct 1, 2016
Barbara Langhenry Individual Corporate Director Mar 1, 2023
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": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1831666965",
    "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": "11906 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075027",
            "telephone_number": "216-281-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "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 Lakewood, OH

Sources for this page

Verify at the official NPI Registry.