NPIMap

Organization Active NPI

Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
National Provider Identifier
1841429529
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Practice address
218 N 2ND St
Allentown, PA 18102-3508
Phone
(610) 841-8400
Fax
(610) 841-8401
NPI assigned
Jul 2, 2009
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Ms. Paula P Haddad
Title
Billing
Phone
(610) 820-7605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD062907L PA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

218 N 2ND St
Allentown, PA 18102-3508

Mailing address

635 E Broad St FL 4
Bethlehem, PA 18018-6332
Phone (610) 820-7605

Other identifiers 1

IdentifierTypeStateIssuer
1023235130002MedicaidPA

Other names 1

  • Vida Nueva at Casa Guadalupe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100526000092 PA Part B Supplier - Clinic/Group Practice 2961537352 Receives reassigned benefits from 54 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Easton, PA; Bethlehem, PA; Allentown, PA
O20140130000503 PA Part A Provider - Federally Qualified Health Center (FQHC) 2961537352 Practice locations: Allentown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841429529. Details of each certification follow.

Federally qualified health center certification: CCN 391039

Legal name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Doing business as
VIDA NUEVA AT CASA GUADALUPE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2014
Last certification
Feb 12, 2014
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Nov 5, 2004 in PA
Enrollment address
218 N 2ND St
Allentown, PA 18102-3508

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Neighborhood Health Centers

Locations

635 E Broad St
Fl 4
Bethlehem, PA 18018

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Henery Aiken Individual Corporate Officer Jul 1, 2020
Daniel Bosket Individual Corporate Officer Jun 1, 2012
Melissa M Miranda Individual Corporate OfficerCeo Jul 29, 2013
Corporate DirectorCeo Jun 24, 2015
W-2 Managing EmployeeCeo Jul 29, 2013

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nhclv at Broad StreetBethlehem, PA, CCN 731900 Federally qualified health center Operational/Managerial Control Nov 19, 2004
Neighborhood Health Centers of the Lehigh Valley - Hamilton StreetAllentown, PA, CCN 731057 Federally qualified health center Operational/Managerial Control Nov 19, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1841429529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E BROAD ST FL 4",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-820-7605",
            "fax_number": "610-433-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023508",
            "telephone_number": "610-841-8400",
            "fax_number": "610-841-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY",
        "enumeration_date": "2009-07-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "610-820-7605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD062907L",
            "primary": false
        },
        {
            "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": "1023235130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Nueva at Casa Guadalupe",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vida Nueva at Casa Guadalupe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.