Provider Demographics
NPI:1265998264
Name:NEIGHBORHOOD HEALTH GROUP, LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-791-9480
Mailing Address - Street 1:8409 LEE HWY UNIT 3575
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-8303
Mailing Address - Country:US
Mailing Address - Phone:703-328-6860
Mailing Address - Fax:
Practice Address - Street 1:1775 EYE ST NW STE 1150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2435
Practice Address - Country:US
Practice Address - Phone:703-328-6860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty