Provider Demographics
NPI:1497217376
Name:NEIGHBORHOOD NETWORK INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD NETWORK INC.
Other - Org Name:GOODLIFE INNOVATIONS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE AND ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-813-5118
Mailing Address - Street 1:11627 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1488
Mailing Address - Country:US
Mailing Address - Phone:913-341-9316
Mailing Address - Fax:
Practice Address - Street 1:11627 W 79TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1488
Practice Address - Country:US
Practice Address - Phone:913-341-9316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities