Provider Demographics
NPI:1801067236
Name:NEIGHBORHOOD FAMILY CARE, INC.
Entity type:Organization
Organization Name:NEIGHBORHOOD FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:WELSH
Authorized Official - Last Name:JOSLYN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:816-241-6334
Mailing Address - Street 1:4601 INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124-2927
Mailing Address - Country:US
Mailing Address - Phone:816-241-6334
Mailing Address - Fax:816-241-5830
Practice Address - Street 1:4601 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64124-2927
Practice Address - Country:US
Practice Address - Phone:816-241-6334
Practice Address - Fax:816-241-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16398OtherPTAN
MO0005568Medicare PIN