Provider Demographics
NPI:1598393449
Name:NEIGHBORHOOD HEALTH PC
Entity Type:Organization
Organization Name:NEIGHBORHOOD HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-917-7397
Mailing Address - Street 1:17512 PATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-2350
Mailing Address - Country:US
Mailing Address - Phone:402-917-7397
Mailing Address - Fax:
Practice Address - Street 1:17512 PATRICK AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-2350
Practice Address - Country:US
Practice Address - Phone:402-917-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1699181123Medicaid