Provider Demographics
NPI:1235137142
Name:NEIGHBORLY CARE NETWORK
Entity Type:Organization
Organization Name:NEIGHBORLY CARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-573-9444
Mailing Address - Street 1:13945 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-4525
Mailing Address - Country:US
Mailing Address - Phone:727-573-9444
Mailing Address - Fax:
Practice Address - Street 1:13945 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-4525
Practice Address - Country:US
Practice Address - Phone:727-892-5781
Practice Address - Fax:727-892-5783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL378261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026829100Medicaid